GERARD ROBERT BEAUDRY MSN ACNP NPI 1104253434

NPI Information

NPI: 1104253434
Provider Name: GERARD ROBERT BEAUDRY, MSN, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: RUTLAND HOSPITAL INC

PECOS Registration: Yes

Address:
160 ALLEN ST
RUTLAND, VT
ZIP 05701
Phone: (802) 775-7111
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Gerard Robert Beaudry, MSN, ACNP is an acute care nurse practitioner in Rutland, VT with 11 years of experience. Gerard Robert Beaudry, MSN, ACNP NPI is 1104253434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

160 ALLEN ST
RUTLAND, VT
ZIP 05701
Phone: (802) 775-7111
Fax: (802) 747-6207

The NPI 1104253434 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 8/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	063188-23	NEW HAMPSHIRE	No
2	363LA2100X	Nurse Practitioner	Acute Care	101.0118274	VERMONT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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