Individual provider · Type 1 NPI
Lisa Beauvois
Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
NPI number
1114298726
Active
Practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Fax (410) 614-0973
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R168664 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R168664 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114298726
Lisa Beauvois's National Provider Identifier is 1114298726, issued on Jan 13, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on May 7, 2019.