Provider Demographics
NPI:1932658226
Name:SCATA-PENNY, APRIL LYNN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LYNN
Last Name:SCATA-PENNY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:APRIL
Other - Middle Name:LYNN
Other - Last Name:SWATZELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4655 CURETON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CATAWBA
Mailing Address - State:SC
Mailing Address - Zip Code:29704-8793
Mailing Address - Country:US
Mailing Address - Phone:573-579-3925
Mailing Address - Fax:
Practice Address - Street 1:3800 S OCEAN DR STE 209
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2915
Practice Address - Country:US
Practice Address - Phone:305-466-9988
Practice Address - Fax:305-466-9989
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN280777363LF0000X
NC5008972363LF0000X
FLAPRN9476013363LF0000X
SC20661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC363LF0000XMedicaid
SCNP4157Medicaid
FL024559000Medicaid