Kim Beaudry, NP
Nurse Practitioner, Gerontology in Worcester, Massachusetts
1083253355- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 774-441-6605
- Fax
- —
- Last updated
- August 14, 2020
Kim Beaudry is a Nurse Practitioner, Gerontology based in Worcester, MA. Kim Beaudry practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Kim Beaudry is 1083253355 and holds a License No. 156137 (MA). The current practice location address for Kim Beaudry is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-441-6605.
Provider Profile Details
- NPI Number
- 1083253355
- Provider Name
- Kim Beaudry
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 774-441-6605
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 3, 2020
- Last Update Date
- August 14, 2020
- Certification Date
- August 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 774-441-6605
Provider Business Mailing Address Details
- Address
- 329 Conway St
Ste 2
Greenfield, MA 01301-1522 - City
- Greenfield
- State
- MA
- Zip
- 01301-1522
- Phone Number
- 413-774-2400
License Information
- License Number
- 156137
- License State
- MA
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Worcester, MA
View all Nurse Practitioner, Gerontology providers in Worcester →Frequently Asked Questions
What is the NPI number of Kim Beaudry, NP?
The NPI number of Kim Beaudry, NP is 1083253355. It was assigned on January 3, 2020 and is currently active in the NPPES registry.
What is the specialty of Kim Beaudry, NP?
Kim Beaudry, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 156137.
Where does Kim Beaudry, NP practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-441-6605 (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 1083253355 directly on the NPPES registry website.