Individual
MELISSA BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 LIVEWELL DR, KENNEBUNK, ME 04043-6762
(207) 467-8988
(207) 467-8969
Mailing address
72 HIGH ST, KENNEBUNK, ME 04043-6935
(207) 604-0534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
CNP201251
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP201251
ME
Other
Enumeration date
11/03/2020
Last updated
04/11/2024
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