Individual provider · Type 1 NPI
Shannon Easton, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1669068060
Active
Practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Mailing address
329 Mill Rd
Havertown, PA 19083-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP022920 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1669068060
Shannon Easton, CRNP's National Provider Identifier is 1669068060, issued on Dec 19, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 19, 2020.