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Shannon Beaton
Student in an Organized Health Care Education/Training Program in Elizabeth, New Jersey
NPI 1063922037

Shannon Beaton is a Student in an Organized Health Care Education/Training Program based in Elizabeth, NJ. Shannon Beaton practices in Elizabeth, NJ. The NPI Number for Shannon Beaton is 1063922037 and holds a License No. (New Jersey).

The current practice location address for Shannon Beaton is 655 Westfield Ave, Elizabeth, NJ and can be reached out via phone at 908-352-8858. You can also correspond with Shannon Beaton through the mailing address at 655 WESTFIELD AVE, ELIZABETH, NJ - 07208-1325 (mailing address contact number: ).

Location: 655 Westfield Ave, Elizabeth, NJ, 07208-1325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063922037
Provider Name
Shannon Beaton
Credential
Provider Entity Type
Individual
Gender
Female
Address
655 Westfield Ave, Elizabeth, NJ, 07208-1325
Phone Number
908-352-8858
Fax Number
Provider Enumeration Date
10/04/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
221487364 05 NJ
institution
Provider Business Practice Location Address Details
Address
655 Westfield Ave
City
Elizabeth
State
New Jersey
Zip
07208-1325
Phone Number
908-352-8858
Fax Number
person
Provider Business Mailing Address Details
Address
655 Westfield Ave
City
Elizabeth
State
New Jersey
Zip
07208-1325
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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