Individual
ANDREA N SCACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19675 I 45 S, SUITE 100, SHENANDOAH, TX 77385-8761
(281) 465-2873
Mailing address
909 FROSTWOOD DR, SUITE 1.100, HOUSTON, TX 77024-2301
(713) 338-4523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
237528
NC
363LF0000X
Family Nurse Practitioner
Primary
AP129901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FH4001420
FIRST MEDICARE DIRECT
NC
01
—
P01210648
R/R MEDICARE
NC
Enumeration date
04/29/2013
Last updated
02/21/2017
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