Basic Information
Provider Information
NPI: 1386032399
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCALES
FirstName: HOPE
MiddleName: RENEE
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: MEDICAL CENTER BLVD
Address2:  
City: WINSTON SALEM
State: NC
PostalCode: 271570001
CountryCode: US
TelephoneNumber: 3367161331
FaxNumber: 3367163202
Practice Location
Address1: 1814 WESTCHESTER DR STE 401
Address2:  
City: HIGH POINT
State: NC
PostalCode: 272627369
CountryCode: US
TelephoneNumber: 3368022080
FaxNumber: 3368022081
Other Information
ProviderEnumerationDate: 12/26/2014
LastUpdateDate: 05/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF0814271NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000X5007411NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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