Individual
MS. ELIZABETH ANN SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
650 DEL PRADO BLVD., SUITE 103, CAPE CORAL, FL 33990
(239) 768-2111
(239) 482-4404
Mailing address
12550 PROFESSIONAL PARK DR., SUITE 11, FORT MYERS, FL 33913
(239) 768-2111
(239) 482-4404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN3265172
FL
363L00000X
Nurse Practitioner
Primary
RN3265172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302930100
—
FL
Enumeration date
05/05/2006
Last updated
04/15/2016
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