MEDICARE: MRS. TIFFANI LYN SCOTT RN, MSN, CPNP

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	363LP0200X	Pediatric Nurse Practitioner	710481	TX
2	363L00000X	Nurse Practitioner	710481	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902090798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TIFFANI LYN SCOTT RN, MSN, CPNP

Provider Business Mailing Address
First Line	:	1464 E WHITESTONE BLVD
Second Line	:	201
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-9058
Country	:	US
Telephone Number	:	512-260-8100
Fax Number	:	512-260-8103

Provider Business Practice Location Address
First Line	:	1464 E WHITESTONE BLVD
Second Line	:	201
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-9058
Country	:	US
Telephone Number	:	512-260-8100
Fax Number	:	512-260-8103

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

Provider Enumeration Date	:	09/05/2007
Last Update Date	:	05/02/2012

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