Individual provider · Type 1 NPI
Kim Beaudry, NP
Gerontology Nurse Practitioner · Worcester, MA
NPI number
1083253355
Active
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
329 Conway St, Ste 2
Greenfield, MA 01301-1522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 156137 (MA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1083253355
Kim Beaudry, NP's National Provider Identifier is 1083253355, issued on Jan 3, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Worcester, MA. The record was last updated on Aug 14, 2020.