Individual
SHANNON M BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, PHN, CDE
Contact information
Practice address
516 DELAWARE ST. SE, PWB ROOM 7-111, MMC 504, MINNEAPOLIS, MN 55455
(612) 626-5609
(612) 626-5206
Mailing address
516 DELAWARE ST. SE, PWB ROOM 7-111, MMC 504, MINNEAPOLIS, MN 55455
(612) 626-5609
(612) 626-5206
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3938
MN
Other
Enumeration date
03/01/2007
Last updated
12/04/2019
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