| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JUDITH REID BEAUREGARD | 1770685869 | 2024-01-07 |
Judith R Beauregard NP [F] graduated in 2004 and primarily specializes in Nurse Practitioner.
Judith Reid Beauregard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770685869. Registration indicates Judith Reid Beauregard is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 4688673668 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Judith Reid Beauregard APN |
| Other Provider Name | Judith Reid Beauregard |
| Practice Office Address | 423 FORTRESS BLVD MORGANTOWN, WV US |
| Practice Office Telephone | 3042252500 |
| Mailing Address | 423 FORTRESS BLVD MORGANTOWN, WV 265081351 US |
| Business Telephone | 3042252500 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 209005549
IL |