Doctor Name: | DEBORAH A. SCATTARELLI |
NPI Number: | 1427001130 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R0936569 |
Business Practice Address: | 1586 County Road 134 St. Cloud Hospital St. Cloud, MN - 56303 |
Business Phone Number: | 3202510726 |
Business Fax Number: | 3202295188 |
Mailing Address: | 1406 6th Ave N, St. Cloud Hospital ST. CLOUD |
State: | MN |
Postal Code: | 563031901 |
Phone Number: | 3202512700 |
Fax Number: | 3206567009 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R0936569 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |