| NPI | 1639985682 |
|---|---|
| Former Legal Business Name | NICOLE LOUIS BEAUBRUN NP IN ADULT HEALTH AND PSYCHIATRY PLLC |
| Entity Type | Organization |
| Authorized Contact | NICOLE LOUIS BEAUBRUN Doctor Of Nurse Practitioner 631-987-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |