Shannon M Beasley in Minneapolis - Pediatrics

Shannon M Beasley - NPI 1659409563

Shannon M Beasley is a Pediatrics in Minneapolis, Minnesota. Shannon M Beasley practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shannon M Beasley is 1659409563. The last update date is 2019-12-04.

Shannon M Beasley's current location address is 516 Delaware St. Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126265609 and fax number 6126265206. The mailing address for Shannon M Beasley is 516 Delaware St. Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon M Beasley
Address 516 Delaware St. Se, Minneapolis, Minnesota
Phone Number 6126265609
Fax Number 6126265206
Sole Proprietor N
Credentials CPNP, PHN,

NPI Number Detail

NPI Number 1659409563
Provider Enumeration Date 2007-03-01
Last Updated Date 2019-12-04

Provider Mailing Address Detail

Address 516 Delaware St. Se
City Minneapolis
State Minnesota (MN)
Post Code 55455
Phone Number 6126265609
Fax Number 6126265206

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 3938
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Shannon M Beasley

What is the unique 10-digit identifier code assigned to Shannon M Beasley by the Centers for Medicare & Medicaid Services?

The Shannon M Beasley has been issued the NPI (National Provider Identifier) 1659409563 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Shannon M Beasley?

The Shannon M Beasley is physically situated at 516 Delaware St. Se, in the city of Minneapolis, state of MN, with the postal code 55455.

What is the Shannon M Beasley's specialty and taxonomy code?

The Shannon M Beasley's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.

On what date did Shannon M Beasley receive its 1659409563 assignment from the Centers for Medicare & Medicaid Services?

The Shannon M Beasley was assigned its 1659409563 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Shannon M Beasley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shannon M Beasley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-04.

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