Healthcare Provider Details

I. General information

NPI: 1649428178
Provider Name (Legal Business Name): MEGHAN CHRISTINE SCOTT RN, FNP, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 E EVELYN AVE
SUNNYVALE CA
94086-6459
US

IV. Provider business mailing address

1691 THE ALAMEDA
SAN JOSE CA
95126-2203
US

V. Phone/Fax

Practice location:
  • Phone: 408-739-5151
  • Fax: 408-992-0627
Mailing address:
  • Phone: 408-287-7532
  • Fax: 408-287-0405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP18334
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: