NPI 1063922037

Shannon Beaton

Practitioner Student in an Organized Health Care Education/Training Program Elizabeth, NJ

Practice location

Address: 655 Westfield Ave, Elizabeth, NJ 07208-1325
Phone: (908) 352-8858

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063922037
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2017
Record last updated: 4 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.