- Practice location
- 22 Bramhall St, Pavilion 1203, Portland, ME 04102
- Phone
- 207-662-4618
- Fax
- 207-662-6254
- Last updated
- January 3, 2011
Meredith Beauregard is a Physician Assistant based in Portland, ME. Meredith Beauregard practices in Portland, ME and has the professional credentials of PA. The NPI Number for Meredith Beauregard is 1013967918 and holds a License No. PA883 (ME). The current practice location address for Meredith Beauregard is 22 Bramhall St, Pavilion 1203, Portland, ME 04102 and can be reached out via phone at 207-662-4618 and via fax at 207-662-6254.
Provider Profile Details
- NPI Number
- 1013967918
- Provider Name
- Meredith Beauregard
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Bramhall St, Pavilion 1203, Portland, ME 04102
- Phone Number
- 207-662-4618
- Fax Number
- 207-662-6254
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2006
- Last Update Date
- January 3, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Bramhall St
Pavilion 1203
Portland, ME 04102 - City
- Portland
- State
- Maine
- Zip
- 04102
- Phone Number
- 207-662-4618
- Fax Number
- 207-662-6254
Provider Business Mailing Address Details
- Address
- 301 US Route 1
Building C
Scarborough, ME 04074-7609 - City
- Scarborough
- State
- ME
- Zip
- 04074-7609
- Phone Number
- 207-396-8600
- Fax Number
- 207-396-8632
License Information
- License Number
- PA883
- License State
- ME
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Portland, ME
View all Physician Assistants in Portland →- Allison C AinleyPhysician Assistant · NPI 1821837469
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- Anna L Ashline, PA-CPhysician Assistant · NPI 1679046700
- Anne Barter, PA-CPhysician Assistant · NPI 1245280981
- Ashley M Bartlett, PAPhysician Assistant · NPI 1326769548
- Ashley R Anderson, PA-CPhysician Assistant · NPI 1093352718
Frequently Asked Questions
What is the NPI number of Meredith Beauregard, PA?
The NPI number of Meredith Beauregard, PA is 1013967918. It was assigned on May 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Meredith Beauregard, PA?
Meredith Beauregard, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA883.
Where does Meredith Beauregard, PA practice?
The practice location is 22 Bramhall St, Pavilion 1203, Portland, ME 04102. The office can be reached at 207-662-4618 (phone) or 207-662-6254 (fax).
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 1013967918 directly on the NPPES registry website.