Individual
MARY THERESA BEAUVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-6488
Mailing address
130 KENBERMA ST, MANCHESTER, NH 03103-6000
Taxonomy
Speciality
Code
Description
License number
State
364SP2800X
Perioperative Clinical Nurse Specialist
Primary
02523221
NH
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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