Mary Beth Beauregard, RN
Individual provider Active NPI Registered Nurse · Monticello, NY
NPI 1780920140 · NPPES record last updated Dec 12, 2012
Key facts
- NPI
- 1780920140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 660996 (NY)
- Practice address
- 32 Kinnebrook Park
Monticello, NY 12701-8602 - Phone
- (845) 423-0793
- NPI assigned
- Dec 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 660996 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 660996 | NY | Yes |
Addresses
Primary practice location
32 Kinnebrook Park
Monticello, NY 12701-8602
Mailing address
32 Kinnebrook Park
Monticello, NY 12701-8602
Phone (845) 423-0793
Other providers in Monticello, NY
- Kimberley Jean Baird
- Julie Ann Baran
- Reymond O Barreto
- Amy E Baxter
- Lisa Beam
- Adriann Beniquez
- Wayne L. Benson
- Ronald Berg
- Julia Lynn Berna
- Gary Wayne Berson
All providers in Monticello, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.