IndividualActive
Gabriella Beaulieu
NPI 1740967876 · Primary Care Nurse Practitioner · Enfield, CT
Provider details
- NPI number
- 1740967876
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 12168 (CT)
Mailing address
24 Jonathan Dr
Ellington, CT 06029-3885
Registry dates
- Enumerated
- 2023-06-30
- Last updated
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.