Individual provider · NPI-1

Shanty B Beijo

Home Health Aide · Portland, ME

NPI number1023977121
StatusActive
Last updated in NPPESJan 15, 2026

Details

NPI
1023977121
Entity type
Individual (NPI-1)
Name
Shanty B Beijo
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 15, 2026
Certification date
Jan 15, 2026
Last updated
Jan 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

75 Bishop St Ste 21a
Portland, ME 04103-2614

Phone 919-633-1508

Mailing address

75 Bishop St Ste 21a
Portland, ME 04103-2614

Phone 919-633-1508

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