Individual
KEMMARIE C BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
340 BROAD ST STE 304, WINDSOR, CT 06095-3030
(860) 776-0187
(815) 205-4087
Mailing address
340 BROAD ST STE 304, WINDSOR, CT 06095-3030
(860) 776-0187
(815) 205-4087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004289
CT
363L00000X
Nurse Practitioner
4289
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
004289
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004289
LICENSE
CT
Enumeration date
01/05/2010
Last updated
09/09/2025
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