MEDICARE: SHAUNTEL SCOTT 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	AP131833	TX

General Provider Information

NPI Number	:	1730629387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAUNTEL SCOTT NP

Provider Business Mailing Address
First Line	:	600 W HILLSBORO BLVD
Second Line	:	SUITE 10
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1609
Country	:	US
Telephone Number	:	866-448-7716
Fax Number	:	954-596-4746

Provider Business Practice Location Address
First Line	:	3129 KINGSLEY DR STE 1010
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8509
Country	:	US
Telephone Number	:	832-304-4665
Fax Number	:

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

Provider Enumeration Date	:	03/01/2017
Last Update Date	:	04/06/2023

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Directions to “ SHAUNTEL SCOTT NP” Practice Location

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