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Individual
GWENN ARLENE SCOTT
Active
Individual
GWENN ARLENE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
238191
TX
363LF0000X
Family Nurse Practitioner
Primary
AP104359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121380302
—
TX
01
—
121380304
EPSDT
TX
01
—
121380308
MEDICAID TPI CHC
TX
01
—
89N276
BCBS
TX
Enumeration date
08/15/2006
Last updated
02/27/2023
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