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NPI Code Detail

MEDICARE: CAROL SCOTT CFNP

MEDICARE: CAROL SCOTT CFNP
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
1363LF0000XFamily Nurse PractitionerCNP00136NM

General Provider Information

NPI Number : 1417959446
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL SCOTT CFNP
Provider Business Mailing Address
First Line : 13905 AVENUE T
Second Line :
City : LUBBOCK
State : TX
Zip : 79423-3235
Country : US
Telephone Number : 505-366-7123
Fax Number :
Provider Business Practice Location Address
First Line : 4100 BARBARA LOOP SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-1000
Country : US
Telephone Number : 505-702-8547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 03/20/2026

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