Individual
HEATHER MICHELLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1401
(321) 434-1667
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1401
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11011359
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11011359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110349900
—
FL
01
—
O9143
MEDICARE HFMG
FL
01
—
O9148
MEDICARE HFPSI
FL
Enumeration date
03/22/2021
Last updated
11/06/2023
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