Provider Demographics
NPI:1649428178
Name:SCOTT, MEGHAN CHRISTINE (RN, FNP, MS)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CHRISTINE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RN, FNP, MS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:604 E EVELYN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6459
Practice Address - Country:US
Practice Address - Phone:408-739-5151
Practice Address - Fax:408-992-0627
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP18334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
BK962ZMedicare PIN