Doctor Name: | DR. BRIGITTE BEAUDRY |
NPI Number: | 1518960897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | L5244 |
Business Practice Address: | 11600 W 2nd Pl Lakewood, CO - 802281527 |
Business Phone Number: | 7203211048 |
Business Fax Number: | |
Mailing Address: | Po Box 150, HOLLY |
State: | CO |
Postal Code: | 810470150 |
Phone Number: | 7195370712 |
Fax Number: | 7195376284 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 08/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | L5244 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |