Individual
SAMANTHA MARIE BEAUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HERRICK ST, BEVERLY, MA 01915-2734
(978) 927-4110
Mailing address
1203 BROUGHTON DR, BEVERLY, MA 01915-1851
(203) 671-4471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2390912
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2390912
MA
Other
Enumeration date
02/10/2025
Last updated
04/09/2025
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