Organization · Type 2 NPI
Shannon Nicole Beauty
Customized Equipment (DME) · Pittsburg, PA
NPI number
1104423714
Active
Practice location
239 Fourth Avenue Ste 1401 #1462
Pittsburg, PA 15222
Mailing address
2147 S Lambert St
Philadelphia, PA 19145-3503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1104423714
Shannon Nicole Beauty's National Provider Identifier is 1104423714, issued on Oct 6, 2020. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Pittsburg, PA. The record was last updated on Oct 5, 2021.