Individual
SHANNON BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6489
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6489
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2250023
MN
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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