Healthcare Provider Details

I. General information

NPI: 1609166107
Provider Name (Legal Business Name): TINA BEAUDOIN N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 S RIVER RD UNIT 4
BEDFORD NH
03110-6934
US

IV. Provider business mailing address

169 S RIVER RD UNIT 4
BEDFORD NH
03110-6934
US

V. Phone/Fax

Practice location:
  • Phone: 603-260-1545
  • Fax: 603-821-0812
Mailing address:
  • Phone: 603-260-1545
  • Fax: 603-821-0812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number84
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: