Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Scanlon, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1043651458

Diana Scanlon, CNP is a Nurse Practitioner in Shelby Township, Michigan. Qualified in 2013, 13 years ago. Practices with St Clair Specialty Physicians PC, a 36-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

45640 Schoenherr Rd Ste B
Shelby Township, MI 48315-6033
Phone: (586) 247-4300
Fax: (586) 532-6496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704267416 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704267416 (MI)

Record details

NPI number1043651458
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 13, 2013
Last updated in NPPESOctober 27, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice St Clair Specialty Physicians Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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