Fournier, Kathryn Beaulieu

Fournier, Kathryn Beaulieu is an individual health care provider with primary practice located at 13407 Lydia St , Silver Spring MD 20906-5225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fournier, Kathryn Beaulieu can be contacted via phone (240) 470-0781.

Contact Information

Primary practice address
13407 Lydia St Silver Spring MD 20906-5225
Phone: (240) 470-0781
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 292461 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R177981 Maryland

Profile Details

NPI number 1225562812
LBN Legal business name Fournier, Kathryn Beaulieu
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2017
Last updated Aug 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225562812 NPPES
Maryland Other AC0003541 LICENSE

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