MEDICARE: MRS. CARRIE E SCOTT NP-C

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	RN148202	AZ
2	363LF0000X	Family Nurse Practitioner	AP8828	AZ

General Provider Information

NPI Number	:	1528411170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARRIE E SCOTT NP-C

Provider Business Mailing Address
First Line	:	2510 W DUNLAP AVE STE 290
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-2759
Country	:	US
Telephone Number	:	602-789-0344
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 N PARK AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-3558
Country	:	US
Telephone Number	:	520-882-6151
Fax Number	:

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

Provider Enumeration Date	:	07/19/2016
Last Update Date	:	07/22/2025

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