Shannon M Beasley, CPNP, PHN, CDE is a pediatrics nurse practitioner in Minneapolis, MN. Shannon M Beasley, CPNP, PHN, CDE NPI is 1659409563. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
516 DELAWARE ST. SE
PWB ROOM 7-111, MMC 504
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-5609
Fax: (612) 626-5206
The NPI 1659409563 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/1/2007 and was last updated on 12/4/2019.