Active NPIIndividual provider

Gerard R Beaudry, MSN, ACNP

Nurse Practitioner in Lebanon, New Hampshire

NPI Number1104253434
Practice location
1 Medical Center Dr, Lebanon, NH 03756-1000
Fax
—
Last updated
August 17, 2022

Gerard Robert Beaudry is a Nurse Practitioner based in Lebanon, NH. Gerard Robert Beaudry practices in Lebanon, NH and has the professional credentials of MSN, ACNP. The NPI Number for Gerard Robert Beaudry is 1104253434 and holds a License No. 063188-23 (NH). The current practice location address for Gerard Robert Beaudry is 1 Medical Center Dr, Lebanon, NH 03756-1000 and can be reached out via phone at 603-308-1467.

Provider Profile Details

NPI Number
1104253434
Provider Name
Gerard Robert Beaudry
Credential
MSN, ACNP
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Lebanon, NH 03756-1000
Phone Number
603-308-1467
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2013
Last Update Date
August 17, 2022
Certification Date
August 17, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
Zip
03756-1000
Phone Number
603-308-1467
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
City
Lebanon
State
NH
Zip
03756-1000
Phone Number
603-308-1467

License Information

License Number (1)
063188-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (2)
101.0118274
License State (2)
VT
Taxonomy (2)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (3)
063188-23
License State (3)
NH
Taxonomy (3)
Nurse Practitioner · 363L00000X · 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 Gerard R Beaudry, MSN, ACNP?

The NPI number of Gerard R Beaudry, MSN, ACNP is 1104253434. It was assigned on October 1, 2013 and is currently active in the NPPES registry.

What is the specialty of Gerard R Beaudry, MSN, ACNP?

Gerard R Beaudry, MSN, ACNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NH under license number 063188-23.

Where does Gerard R Beaudry, MSN, ACNP practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756-1000. The office can be reached at 603-308-1467 (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 1104253434 directly on the NPPES registry website.

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