Active NPIIndividual provider

Dr. Mayra Beauchamp Bruno, MD

Dermatology in Manchester, New Hampshire

NPI Number1003015173
Practice location
100 Hitchcock Way, Manchester, NH 03104-4125
Fax
—
Last updated
July 26, 2023

Mayra Beauchamp Bruno is a Dermatology based in Manchester, NH. Mayra Beauchamp Bruno practices in Manchester, NH and has the professional credentials of MD. The NPI Number for Mayra Beauchamp Bruno is 1003015173 and holds a License No. 17621 (PR). The current practice location address for Mayra Beauchamp Bruno is 100 Hitchcock Way, Manchester, NH 03104-4125 and can be reached out via phone at 603-695-2500.

Provider Profile Details

NPI Number
1003015173
Provider Name
Mayra Beauchamp Bruno
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Hitchcock Way, Manchester, NH 03104-4125
Phone Number
603-695-2500
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Other Names
Dr. Mayra Cristina Beauchamp Bruno, MD (Other Name)
Provider Enumeration Date
July 17, 2007
Last Update Date
July 26, 2023
Certification Date
July 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Hitchcock Way
Manchester, NH 03104-4125
Zip
03104-4125
Phone Number
603-695-2500
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
Po Box 810
Hanover, NH 03755-0810
City
Hanover
State
NH
Zip
03755-0810
Phone Number
603-308-1472

License Information

License Number (1)
17621
License State (1)
PR
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
16259
License State (2)
NH
Taxonomy (2)
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mayra Beauchamp Bruno, MD?

The NPI number of Dr. Mayra Beauchamp Bruno, MD is 1003015173. It was assigned on July 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mayra Beauchamp Bruno, MD?

Dr. Mayra Beauchamp Bruno, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in PR under license number 17621.

Where does Dr. Mayra Beauchamp Bruno, MD practice?

The practice location is 100 Hitchcock Way, Manchester, NH 03104-4125. The office can be reached at 603-695-2500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003015173 directly on the NPPES registry website.

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