Provider Demographics
NPI:1982585170
Name:BEAUDOIN, URSZULA JASKOLKA
Entity type:Individual
Prefix:MRS
First Name:URSZULA
Middle Name:JASKOLKA
Last Name:BEAUDOIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11940 WEDDINGTON ST UNIT 14
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2898
Mailing Address - Country:US
Mailing Address - Phone:323-307-6303
Mailing Address - Fax:
Practice Address - Street 1:11940 WEDDINGTON ST UNIT 14
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2898
Practice Address - Country:US
Practice Address - Phone:323-307-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula