Individual
SHAYNA BEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10 TRIEBLE DR, TUNKHANNOCK, PA 18657-7054
(570) 996-2700
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP025440
PA
363LF0000X
Family Nurse Practitioner
SP025440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP025440
STATE BOARD OF NURSING
PA
Enumeration date
03/04/2022
Last updated
06/08/2023
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