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Individual
MS. SHANA BEACH
Active
Individual
MS. SHANA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN169832
TN
363L00000X
Nurse Practitioner
APN0000014385
TN
363LF0000X
Family Nurse Practitioner
Primary
APN14385
TN
Other
Enumeration date
10/20/2009
Last updated
07/17/2014
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