MEDICARE: ANAM CARA WELLNESS PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1508793142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANAM CARA WELLNESS PLLC

Provider Business Mailing Address
First Line	:	60 LINNETT CT # 3A
Second Line	:
City	:	YOUNGSVILLE
State	:	NC
Zip	:	27596-7300
Country	:	US
Telephone Number	:	262-483-7219
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 LAKE BOONE TRL STE 3A
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-7518
Country	:	US
Telephone Number	:	984-230-2416
Fax Number	:	984-220-9339

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	SHARI LYNN SCOTT
Credential	:	PMHNP-BC
Telephone Number	:	984-230-2416

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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