Individual
RENEE BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 NEW LANCASTER ROAD, LEOMINSTER, MA 01453-4958
(978) 466-3205
(978) 534-2991
Mailing address
5 NEPONSET ST FL STREET2, WORCESTER, MA 01606-2714
(978) 466-3205
(978) 534-2991
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
15105
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2258722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110128343A
—
MA
Enumeration date
08/13/2010
Last updated
12/13/2018
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