MEDICARE: BEATRICE AFFUL

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	374J00000X	Doula

General Provider Information

NPI Number	:	1336035450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRICE AFFUL

Provider Business Mailing Address
First Line	:	31 ESTHER ST APT 3
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01607-1478
Country	:	US
Telephone Number	:	508-254-2085
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 ESTHER ST APT 3
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01607-1478
Country	:	US
Telephone Number	:	508-254-2085
Fax Number	:	508-254-2085

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

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	06/16/2025

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Directions to “ BEATRICE AFFUL ” Practice Location

Language	Start Address	Practice Location

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