Individual
KATHLYN BEAUDRY-NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
268 TRAPELO RD, STE 2, BELMONT, MA 02478-1849
(781) 647-3040
(781) 647-3044
Mailing address
268 TRAPELO RD, STE 2, BELMONT, MA 02478-1849
(781) 647-3040
(781) 647-3044
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
152072
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705632
—
MA
Enumeration date
05/04/2006
Last updated
03/21/2016
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