HAILEY BEAUDRY PA-C, RDN
NPI 1023876018
Physician Assistant - Medical in Virginia Beach, VA
Active since March 13, 2024
About Hailey Beaudry Pa-c, Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAILEY BEAUDRY PA-C, RDN (NPI 1023876018) is an individual medical provider in Virginia Beach, Virginia, licensed in Virginia (0110009915) and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1023876018
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHAILEY BEAUDRYCredential: PA-C, RDN
Location Address1550 TOMCAT BLVDVirginia Beach, VA 23460-2218
Mailing Address1733 Seaton DrVirginia Beach, VA 23464-7630 · (616) 340-8206
Phone(757) 953-9915
Sole ProprietorNo
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1023876018 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110009915
Also ListedDietitian, RegisteredTaxonomy 133V00000X
1550 TOMCAT BLVD, Virginia Beach, VA 23460
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023876018, enumerated as an "individual" on March 13, 2024.
The provider is located at 1550 TOMCAT BLVD VIRGINIA BEACH, VA 23460 and the phone number is (757) 953-9915.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
