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Individual

SCOTT G REDDEN

Active
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Individual

SCOTT G REDDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN592895
PA
363LF0000X
Family Nurse Practitioner
Primary
SP021124
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN592895
RN LICENSE NUMBER
PA
01
—
SP021724
NURSE PRACTITIONER
PA
Enumeration date
01/08/2020
Last updated
10/12/2021
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