Healthcare Provider Details

I. General information

NPI: 1558123653
Provider Name (Legal Business Name): SHANNON BEGLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 GERVAIS RD
FRANKLIN FURNACE OH
45629-8742
US

IV. Provider business mailing address

260 BULL PEN RD
WHEELERSBURG OH
45694-8371
US

V. Phone/Fax

Practice location:
  • Phone: 740-259-7000
  • Fax: 740-480-5200
Mailing address:
  • Phone: 740-464-1687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number481097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: