MEDICARE: PATRICIA ANN SCANLON NP

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	363LF0000X	Family Nurse Practitioner	RN269719	MA

General Provider Information

NPI Number	:	1518330919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN SCANLON NP

Provider Business Mailing Address
First Line	:	115 NORWOOD PARK S
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-4633
Country	:	US
Telephone Number	:	781-349-5181
Fax Number	:	855-592-2689

Provider Business Practice Location Address
First Line	:	115 NORWOOD PARK S
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-4633
Country	:	US
Telephone Number	:	781-349-5181
Fax Number	:	855-592-2689

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

Provider Enumeration Date	:	11/06/2015
Last Update Date	:	11/28/2023

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