MEDICARE: LUDMILA DEARAUJO

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	31761	SC

General Provider Information

NPI Number	:	1952846362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUDMILA DEARAUJO

Provider Business Mailing Address
First Line	:	15 SHADOWBROOK LN APT 29
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-1139
Country	:	US
Telephone Number	:	774-287-3308
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 CLOVIS CIR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-8212
Country	:	US
Telephone Number	:	774-287-3308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2016
Last Update Date	:	03/26/2026

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Directions to “ LUDMILA DEARAUJO ” Practice Location

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