| Doctor Name: | MRS. ERIN PATRICIA BEAUDRY |
| NPI Number: | 1083859383 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F4255 |
| Business Practice Address: | 120 Louie St Wagener, SC - 291649445 |
| Business Phone Number: | 8035648803 |
| Business Fax Number: | 8035648804 |
| Mailing Address: | 390 Bethcar Church Rd, WAGENER |
| State: | SC |
| Postal Code: | 29164 |
| Phone Number: | 4015234556 |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2008 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F4255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |