# RAYVEN SHAMEYA SCOTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881277127
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156F00000X | Technician/Technologist | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | 4703131098 | MI | Yes |

## Other

- **Enumeration date:** 05/04/2021
- **Last updated:** 01/03/2025