Beaven, Sundyna Jean

Beaven, Sundyna Jean is an individual health care provider with primary practice located at 75 Francis St Suite Cwn 5, Boston MA 02115-6110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Beaven, Sundyna Jean can be contacted via phone (617) 732-5053.

Contact Information

Primary practice address
75 Francis St Suite Cwn 5 Boston MA 02115-6110
Phone: (617) 732-5053
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN278316 Massachusetts

Profile Details

NPI number 1134392889
LBN Legal business name Beaven, Sundyna Jean
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Feb 16th, 2024 - about last year

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 1134392889 NPPES
Massachusetts MEDICAID 110094516A

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