| Doctor Name: | DR. NATHAN WAYNE SCADLOCK |
| NPI Number: | 1235571936 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP, ARNP |
| License Number: | A121762 |
| Business Practice Address: | 2104 Cedarwood Dr Suite 203 Muscatine, IA - 527612669 |
| Business Phone Number: | 5632620800 |
| Business Fax Number: | 5632620809 |
| Mailing Address: | 2104 Cedarwood Dr, Suite 203 MUSCATINE |
| State: | IA |
| Postal Code: | 527612669 |
| Phone Number: | 5632620800 |
| Fax Number: | 5632620809 |
| NPI Enumeration Date: | 07/23/2013 |
| NPI Last Update Date: | 05/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | A121762 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |