Provider Demographics
NPI:1033596382
Name:MAYERS-SCOTT, KAREN ANTOINETTE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANTOINETTE
Last Name:MAYERS-SCOTT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19642 LONGVIEW RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65583-3542
Mailing Address - Country:US
Mailing Address - Phone:573-528-6527
Mailing Address - Fax:
Practice Address - Street 1:19642 LONGVIEW RD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65583-3542
Practice Address - Country:US
Practice Address - Phone:573-528-6527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-06
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014041456363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily