Beaupre, Michelle Diane

Beaupre, Michelle Diane is an individual health care provider with primary practice located at 1300 Rollingbrook Dr Ste 508 , Baytown TX 77521-3846. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Beaupre, Michelle Diane can be contacted via phone (281) 837-6463.

Contact Information

Primary practice address
1300 Rollingbrook Dr Ste 508 Baytown TX 77521-3846
Phone: (281) 837-6463
Fax: (280) 837-0600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 747149 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 747149 Texas

Profile Details

NPI number 1760752091
LBN Legal business name Beaupre, Michelle Diane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2012
Last updated Apr 6th, 2018 - about 6 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 1760752091 NPPES
Texas Other 871N17 BCBS
Texas MEDICAID 2982043 BCBS

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