Provider Demographics
NPI:1649042052
Name:BEAUDET, MELANIE L (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:L
Last Name:BEAUDET
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 URSLA DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2420
Mailing Address - Country:US
Mailing Address - Phone:508-726-0821
Mailing Address - Fax:
Practice Address - Street 1:3 URSLA DR
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-2420
Practice Address - Country:US
Practice Address - Phone:508-726-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN217969163W00000X
MAL-310838163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse