Individual
HEATHER LEE BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CDCES
Contact information
Practice address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
(603) 752-7797
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
071544-21
NH
163WD0400X
Diabetes Educator Registered Nurse
748648
NH
363LF0000X
Family Nurse Practitioner
Primary
071544-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071544-21
RN LICENSE
NH
01
—
071544-23
APRN LICENSE
NH
Enumeration date
09/21/2020
Last updated
01/10/2024
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