NPI 1689989667 · live from the CMS NPI Registry
Renee Beaulieu, APRN
Nurse Practitioner, Pediatrics in Leominster, MA. National Provider Identifier 1689989667, active.
NPI record
| NPI | 1689989667 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 225 New Lancaster Road, Leominster, MA 01453 |
| Practice phone | 978-466-3205 |
| Mailing address | 5 Neponset St Fl Street2, Worcester, MA 01606 |
| Enumerated | August 13, 2010 |
| Last updated | December 13, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 15105 (OH) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | RN2258722 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.