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MR. SCOTT JOSEPH ST.AMANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
500 MARINERS PLAZA DR, SUITE 504, MANDEVILLE, LA 70448-6821
(985) 246-1250
(985) 246-1251
Mailing address
500 MARINERS PLAZA DR, SUITE 504, MANDEVILLE, LA 70448-6821
(985) 246-1250
(985) 246-1251

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
LA89100
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APO6828
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2352032
LA
01
2362917
MEDICAID IP-LIMITED MEDICAID ENROLLMENT FOR EHR PROGRAM
LA
Enumeration date
06/20/2012
Last updated
05/29/2014
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