Lisa A Beaudry, CNM
Advanced Practice Midwife in Ware, MA. Individual provider (NPI-1).
NPI number1760629182
StatusActive
Last updated in NPPESMay 13, 2016
Details
- NPI
- 1760629182
- Entity type
- Individual (NPI-1)
- Name
- Lisa A Beaudry
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2009
- Last updated
- May 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 150661 | MA | Yes |
Practice location
83 South StWare, MA 01082-1660
Phone 413-967-2655
Mailing address
280 Chestnut St2nd Floor
Springfield, MA 01199-1001
Phone 413-794-5700
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