Provider Demographics
NPI:1750473260
Name:BEAULIEU, KAREN ANN (PA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:BEAULIEU
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 16957
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33318-6957
Mailing Address - Country:US
Mailing Address - Phone:954-476-9494
Mailing Address - Fax:954-476-8288
Practice Address - Street 1:350 NW 84TH AVE
Practice Address - Street 2:SUITE # 206
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1817
Practice Address - Country:US
Practice Address - Phone:954-476-9494
Practice Address - Fax:954-476-8288
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9103787363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical