NPI 1013967918

Meredith Beauregard, PA

Practitioner Physician Assistant Portland, ME

Practice location

Address: 22 Bramhall St Pavilion 1203, Portland, ME 04102
Phone: (207) 662-4618
Fax: (207) 662-6254
Mailing address: 301 US Route 1 Building C, Scarborough, ME 04074-7609

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA883 (ME)

Other Physician Assistant providers in Maine →

Registry record

NPI: 1013967918
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2006
Record last updated: 3 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.