Doctor Name: | AMANDA L SCOTT |
NPI Number: | 1093143844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APRN, FNP-C |
License Number: | 341552 |
Business Practice Address: | 819 N 1st St Dennison, OH - 446211003 |
Business Phone Number: | 7409220000 |
Business Fax Number: | |
Mailing Address: | 819 N 1st St, DENNISON |
State: | OH |
Postal Code: | 446211003 |
Phone Number: | 7409220000 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2013 |
NPI Last Update Date: | 10/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 341552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |