Beasley, Shannon M
Beasley, Shannon M is an individual health care provider with primary practice located at 516 Delaware St. Se Pwb Room 7-111, Mmc 504, Minneapolis MN 55455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Beasley, Shannon M can be contacted via phone (612) 626-5609.Contact Information
Primary practice address
516 Delaware St. Se Pwb Room 7-111, Mmc 504
Minneapolis MN 55455
Phone: (612) 626-5609
Fax: (612) 626-5206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 3938 | Minnesota |
Profile Details
| NPI number | 1659409563 |
|---|---|
| LBN Legal business name | Beasley, Shannon M |
| Credentials | CPNP, PHN, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Dec 4th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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