Owen, Elaine Beaudoin

Owen, Elaine Beaudoin is an individual health care provider with primary practice located at 130 Fisher Rd Mob-B Suite 3, Berlin VT 05602-9516. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Owen, Elaine Beaudoin can be contacted via phone (802) 225-5400.

Contact Information

Primary practice address
130 Fisher Rd Mob-B Suite 3 Berlin VT 05602-9516
Phone: (802) 225-5400
Fax: (802) 225-5401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 12633 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1010012633 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 101.0012633 Vermont

Profile Details

NPI number 1609972306
LBN Legal business name Owen, Elaine Beaudoin
Credentials APRN,AOCN,MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 4th, 2014 - about 12 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 1609972306 NPPES
Vermont MEDICAID ONS2011

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