Individual provider · Type 1 NPI

Shannon M. Beasley, CPNP, PHN, CDE

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1659409563 Active

Practice location

516 Delaware St. SE, Pwb Room 7-111, Mmc 504
Minneapolis, MN 55455

Call (612) 626-5609 Map

Fax (612) 626-5206

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X3938 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1659409563

Shannon M. Beasley, CPNP, PHN, CDE's National Provider Identifier is 1659409563, issued on Mar 1, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 4, 2019.