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Individual

MRS. SUSAN RENEE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2941 SIERRA CT SW, IOWA CITY, IA 52240-8503
(319) 337-7642
(319) 339-1449
Mailing address
2941 SIERRA CT SW, IOWA CITY, IA 52240-8503
(319) 337-7642
(319) 339-1449

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A095863
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013049691
IA
01
P00474252
RR MEDICARE
IA
Enumeration date
03/10/2007
Last updated
10/21/2008
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