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NPI Code Detail

MEDICARE: BEVERLY M KENNEDY ARNP

MEDICARE:   BEVERLY M KENNEDY  ARNP
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
1363LW0102XWomen's Health Nurse Practitioner039588-23-04NH
2363LX0001XObstetrics & Gynecology Nurse Practitioner039588-23NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1043775640OTHERNHPHCS
2043775640OTHERNVHCVM/FIRST HEALTH
34005898Y0NH02OTHERNHANTHEM BCBS NH
4NP0469OTHERMABCBSMA

General Provider Information

NPI Number : 1538129762
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY M KENNEDY ARNP
Provider Business Mailing Address
First Line : PO BOX 3677
Second Line :
City : NASHUA
State : NH
Zip : 03061-3677
Country : US
Telephone Number : 603-577-2799
Fax Number : 603-577-5674
Provider Business Practice Location Address
First Line : 8 PROSPECT ST
Second Line :
City : NASHUA
State : NH
Zip : 03060-3925
Country : US
Telephone Number : 603-577-3053
Fax Number : 603-577-5354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 01/12/2026

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Directions to “ BEVERLY M KENNEDY ARNP” Practice Location

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