Samantha M Beaudoin
Nurse Practitioner, Family in Beverly, Massachusetts
1558176438- Practice location
- 77 Herrick St, Beverly, MA 01915-2734
- Phone
- 978-927-4110
- Fax
- —
- Last updated
- April 9, 2025
Samantha Marie Beaudoin is a Nurse Practitioner, Family based in Beverly, MA. Samantha Marie Beaudoin practices in Beverly, MA. The NPI Number for Samantha Marie Beaudoin is 1558176438 and holds a License No. RN2390912 (MA). The current practice location address for Samantha Marie Beaudoin is 77 Herrick St, Beverly, MA 01915-2734 and can be reached out via phone at 978-927-4110.
Provider Profile Details
- NPI Number
- 1558176438
- Provider Name
- Samantha Marie Beaudoin
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 77 Herrick St, Beverly, MA 01915-2734
- Phone Number
- 978-927-4110
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Other Names
- Samantha Marie Caraballo (Former Name)
- Provider Enumeration Date
- February 10, 2025
- Last Update Date
- April 9, 2025
- Certification Date
- April 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 Herrick St
Beverly, MA 01915-2734 - City
- Beverly
- State
- Massachusetts
- Zip
- 01915-2734
- Phone Number
- 978-927-4110
Provider Business Mailing Address Details
- Address
- 1203 Broughton Dr
Beverly, MA 01915-1851 - City
- Beverly
- State
- MA
- Zip
- 01915-1851
- Phone Number
- 203-671-4471
License Information
- License Number (1)
- RN2390912
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (2)
- RN2390912
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Samantha M Beaudoin?
The NPI number of Samantha M Beaudoin is 1558176438. It was assigned on February 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Samantha M Beaudoin?
Samantha M Beaudoin is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2390912.
Where does Samantha M Beaudoin practice?
The practice location is 77 Herrick St, Beverly, MA 01915-2734. The office can be reached at 978-927-4110 (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 1558176438 directly on the NPPES registry website.