Basic Information
| Provider Information | |||||||||
| NPI: | 1104853118 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCOTT | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSN, RN, CFNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 819 N FIRST ST | ||||||||
| Address2: | |||||||||
| City: | DENNISON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44621 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 819 N 1ST ST | ||||||||
| Address2: | |||||||||
| City: | DENNISON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446211003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409222800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2006 | ||||||||
| LastUpdateDate: | 01/19/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN148491 | OH | N | Nursing Service Providers | Registered Nurse | 363LF0000X | COA.04382-NP | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.