Individual provider · Type 1 NPI

Shannon Dereamus, CRNP

Nurse Practitioner · Lehighton, PA

NPI number 1295491306 Active

Practice location

575 S 9th St Ste 7
Lehighton, PA 18235-2517

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP024754 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295491306

Shannon Dereamus, CRNP's National Provider Identifier is 1295491306, issued on Nov 12, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lehighton, PA. The record was last updated on Nov 12, 2021.