Individual provider · Type 1 NPI

Shannon Marie Beagan

Nurse Practitioner · Detroit, MI

NPI number 1366047896 Active

Practice location

4100 John R St
Detroit, MI 48201-2013

Mailing address

16721 Philomene Blvd
Allen Park, MI 48101-2419

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704274132 (MI)

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 1366047896

Shannon Marie Beagan's National Provider Identifier is 1366047896, issued on Dec 2, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 2, 2020.