Individual
DANIELLE MARIE BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1095 PROFILE RD STE B, FRANCONIA, NH 03580
(603) 444-2464
Mailing address
1095 PROFILE RD, FRANCONIA, NH 03580-4938
(603) 444-2464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0707
NH
363A00000X
Physician Assistant
2645
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30337178
—
NH
01
—
9000407
VT MEDICAID
VT
Enumeration date
12/24/2008
Last updated
01/25/2022
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