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NPI Code Detail

MEDICARE: MRS. SHANNON MELANIE SCOTT CRNA

MEDICARE: MRS. SHANNON MELANIE SCOTT CRNA
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
1207L00000XAnesthesiology Physician11002817FL
2367500000XCertified Registered Nurse AnesthetistAPRN11002817FL

Other Identifiers

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

General Provider Information

NPI Number : 1942860952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON MELANIE SCOTT CRNA
Provider Business Mailing Address
First Line : 5987 NW 77TH DR
Second Line :
City : PARKLAND
State : FL
Zip : 33067-3336
Country : US
Telephone Number : 954-918-3510
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33063-5727
Country : US
Telephone Number : 954-974-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2019
Last Update Date : 02/05/2026

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Directions to “ MRS. SHANNON MELANIE SCOTT CRNA” Practice Location

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