Individual provider · Type 1 NPI

Zachary Robert Beaulieu

Student in an Organized Health Care Education/Training Program · Portland, ME

NPI number 1114751633 Active

Practice location

716 Stevens Ave
Portland, ME 04103-2693

Call (207) 221-4516 Map

Mailing address

17 1/2 East St
Dover, NH 03820-3135

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X088654-21 (NH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114751633

Zachary Robert Beaulieu's National Provider Identifier is 1114751633, issued on Aug 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, ME. The record was last updated on Aug 27, 2024.