NPI 1063674109

Nicole K Beauvais, PACMMS

Practitioner Physician Assistant Stillwater, MN

Practice location

Address: 270 Main St N STE 300, Stillwater, MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11223 (MN)

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Registry record

NPI: 1063674109
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2008
Record last updated: 1 May 2026

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.