MEDICARE: MRS. ALLISON MARIE SCHOLL AGACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	APRN11028262	FL
2	363LG0600X	Gerontology Nurse Practitioner	APRN11028262	FL

General Provider Information

NPI Number	:	1962276089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON MARIE SCHOLL AGACNP-BC

Provider Business Mailing Address
First Line	:	17818 GREY BROOKE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2201
Country	:	US
Telephone Number	:	513-335-4017
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 MEDICAL PARK DR STE 170
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-6601
Country	:	US
Telephone Number	:	813-421-2979
Fax Number	:	813-515-9791

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

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	12/11/2023

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