Shannon Nicole Beauty
Shannon Nicole Beauty is a Customized Equipment (DME) in Pittsburg, Pennsylvania. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
239 Fourth Ave Ste 1401 #1462Pittsburg, PA 15222
Phone: (516) 418-4201
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|
Record details
| NPI number | 1104423714 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shannon Parker — Owner · (516) 418-4201 |
| NPI enumerated | October 6, 2020 |
| Last updated in NPPES | October 5, 2021 |
| Certification date | October 5, 2021 |
| Mailing address | 2147 S Lambert St, Philadelphia, PA 19145-3503 |