Provider Demographics
NPI:1942374715
Name:BELTRAN, ROBERTO ARTURO (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:ARTURO
Last Name:BELTRAN
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:101 AMESBURY ST
Mailing Address - Street 2:204
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1323
Mailing Address - Country:US
Mailing Address - Phone:978-688-1919
Mailing Address - Fax:978-688-1923
Practice Address - Street 1:101 AMESBURY ST
Practice Address - Street 2:204
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1323
Practice Address - Country:US
Practice Address - Phone:978-688-1919
Practice Address - Fax:978-688-1923
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA264862363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily