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NPI Code Detail

MEDICARE: MRS. TINA BEAUDOIN HOWARD FNP-BC

MEDICARE:  MRS. TINA BEAUDOIN HOWARD  FNP-BC
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
1363LF0000XFamily Nurse Practitioner0024172573VA

General Provider Information

NPI Number : 1245626019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TINA BEAUDOIN HOWARD FNP-BC
Provider Business Mailing Address
First Line : PO BOX 590
Second Line :
City : UNION
State : WV
Zip : 24983-0590
Country : US
Telephone Number : 540-381-1153
Fax Number :
Provider Business Practice Location Address
First Line : 226 MARKET ST
Second Line :
City : NEW CASTLE
State : VA
Zip : 24127-6080
Country : US
Telephone Number : 540-381-1153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2015
Last Update Date : 01/29/2025

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Directions to “ MRS. TINA BEAUDOIN HOWARD FNP-BC” Practice Location

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