Provider Demographics
NPI:1104538040
Name:BEEGAN, MAYA (APRN)
Entity type:Individual
Prefix:MRS
First Name:MAYA
Middle Name:
Last Name:BEEGAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:BEEGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:486 WHITTINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-6493
Mailing Address - Country:US
Mailing Address - Phone:603-321-3043
Mailing Address - Fax:
Practice Address - Street 1:17A TATRO RD STE 201
Practice Address - Street 2:
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-2370
Practice Address - Country:US
Practice Address - Phone:603-314-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH071627-21163WC1600X
NH071627-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development