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NPI Code Detail

MEDICARE: DEVON E BEAL NP, CNS

MEDICARE:   DEVON E BEAL  NP, CNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse78195CT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner18261CA
3163W00000XRegistered Nurse729507CA
4163W00000XRegistered NurseRN278807MA
5163W00000XRegistered Nurse589376NY
6363LP0808XPsychiatric/Mental Health Nurse Practitioner003728CT
7363LP0808XPsychiatric/Mental Health Nurse Practitioner406966NY
8364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist003728CT
9363LP0808XPsychiatric/Mental Health Nurse PractitionerRN278807MA

General Provider Information

NPI Number : 1326216508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVON E BEAL NP, CNS
Provider Business Mailing Address
First Line : 34 ANTHONY RD
Second Line :
City : HOPEDALE
State : MA
Zip : 01747-2023
Country : US
Telephone Number : 781-424-0782
Fax Number :
Provider Business Practice Location Address
First Line : 300 BAKER AVE STE 300
Second Line :
City : CONCORD
State : MA
Zip : 01742-2124
Country : US
Telephone Number : 833-351-8255
Fax Number : 888-815-3583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2008
Last Update Date : 05/27/2025

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