MEDICARE: BETSY SCAFIDEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	207934	LA

General Provider Information

NPI Number	:	1336082817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETSY SCAFIDEL

Provider Business Mailing Address
First Line	:	47081 VINEYARD TRCE
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70401-4084
Country	:	US
Telephone Number	:	985-320-0559
Fax Number	:

Provider Business Practice Location Address
First Line	:	47081 VINEYARD TRCE
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70401-4084
Country	:	US
Telephone Number	:	985-320-0559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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