MISS HOLLY LYNE BEAULIEU


Address: 1973 Sloan Pl Ste 100, Saint Paul, MN 55117
Phone: 6512415593

MISS HOLLY LYNE BEAULIEU (NPI# 1528222197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528222197
Entity Type Individual
Full Name MISS HOLLY LYNE BEAULIEU
Credential PA-C
Practice Address 1973 Sloan Pl Ste 100
Saint Paul
MN 55117
Mailing Address Po Box 14909
Minneapolis
MN 55414-0909
Practice Telephone 6512415593
Practice Fax Number 6512415870
Mailing Telephone 6128711145
Mailing Fax Number 6128705491
Enumeration Date 2008-07-14
Last Update Date 2018-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
10419 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1973 SLOAN PL STE 100
City SAINT PAUL
State MN
Zip Code 55117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144412503 Paul R Dambowy Internal Medicine 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 2007-08-09
1912335092 Kate Gaffney Physician Assistant 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 2013-10-28
1538300157 Peter Louis Pico Internal Medicine 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 2009-03-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306309992 Katrina Gregor Social Worker Po Box 17370 Lot 537, St. Paul, MN 55117 2019-04-10
1083160352 Miracle Home Health Care, Inc. Home Health 55 Lyton Place, Saint Paul, MN 55117 2016-08-28
1871958827 Roxanne Marie Cruciani Physical Therapy Assistant 41 East County Road C, #211, Little Canada, MN 55117 2015-12-17
1386064111 Laura Giegler Family Medicine 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 2014-04-19
1235564352 Jennifer Ann Bertolatus Counselor 1585 Rice Street, St. Paul, MN 55117 2013-09-09
1851670400 Healthy Community Services Agency, Inc Home Health 1096 Rice St., St. Paul, MN 55117 2011-08-15
1609184639 Ondrea Perlman Advanced Practice Midwife 91 Viking Drive West, Little Canada, MN 55117 2010-09-24
1710126107 Have A Heart Home Health Group, LLC Home Health 1973 Sloan Place, Suite 70, Maplewood, MN 55117 2009-02-09
1508052424 Integratiavecare Vadnais Heights LLC Pharmacy 5 East County Road B, Suite #2, Little Canada, MN 55117 2007-09-25
1174728257 Step Therapies, Inc. Specialist 75 W Viking Drive, Suite 101, Little Canada, MN 55117 2007-06-18
Find all providers in zip 55117

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1003258690 Jenny Rebecca Kluznik Physician Assistant 1619 Dayton Ave Ste 205, Saint Paul, MN 55104 2013-07-23
1538439534 Meghan Eileen Goff Physician Assistant 212 7th St E, Apt 204, Saint Paul, MN 55101-2373 2012-01-06
1003899527 Christopher Lawrence Kaye Physician Assistant 640 Jackson Street, Saint Paul, MN 55101 2005-11-29
1578113932 Alyssa Shenyeng Moualee Physician Assistant 1239 Payne Ave, Saint Paul, MN 55130-3667 2019-09-18
1790338754 Mikaela Pierson Physician Assistant 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2019-07-18
1508425711 Sopida N/a Wunder Physician Assistant 1983 Sloan Pl Ste 11, Saint Paul, MN 55117-2004 2019-06-11
1780159533 Andrew Kenneth Gernand Physician Assistant 640 Jackson St, Saint Paul, MN 55101-2595 2018-10-08
1205350204 Soua Vang Physician Assistant 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 2017-08-01
1588184634 Katharine Elizabeth Boyd Physician Assistant 333 Smith Ave N, Saint Paul, MN 55102-2344 2017-06-20
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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