Bevan, Shayna

Bevan, Shayna is an individual health care provider with primary practice located at 10 Trieble Dr , Tunkhannock PA 18657-7054. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bevan, Shayna can be contacted via phone (570) 996-2700.

Contact Information

Primary practice address
10 Trieble Dr Tunkhannock PA 18657-7054
Phone: (570) 996-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP025440 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP025440 Pennsylvania

Profile Details

NPI number 1972250405
LBN Legal business name Bevan, Shayna
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2022
Last updated Jun 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972250405 NPPES
Pennsylvania Other SP025440 STATE BOARD OF NURSING

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