MEDICARE: SCHARLOTTE SPENCER 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	724184	TX

General Provider Information

NPI Number	:	1568804490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCHARLOTTE SPENCER NP

Provider Business Mailing Address
First Line	:	5402 LAKOTA TRL
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3517
Country	:	US
Telephone Number	:	504-338-2743
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 OLD LOUETTA LOOP STE 110
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4721
Country	:	US
Telephone Number	:	346-443-1622
Fax Number	:	346-770-2463

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

Provider Enumeration Date	:	07/19/2013
Last Update Date	:	08/21/2025

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Directions to “ SCHARLOTTE SPENCER NP” Practice Location

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