Weldon-Beardslee, Amy Beth
Weldon-Beardslee, Amy Beth is an individual health care provider with primary practice located at 19 Halls Rd , Old Lyme CT 06371-1457. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Weldon-Beardslee, Amy Beth can be contacted via phone (860) 434-8300.Contact Information
Primary practice address
19 Halls Rd
Old Lyme CT 06371-1457
Phone: (860) 434-8300
Fax: (860) 865-2388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN271997 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 8208 | Connecticut |
Profile Details
| NPI number | 1215217203 |
|---|---|
| LBN Legal business name | Weldon-Beardslee, Amy Beth |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2011 |
| Last updated | May 21st, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215217203 | NPPES |
| Massachusetts | Other | RN271997 | DPH RN/NP |
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