Individual
ANGELA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 BLUE HERON DR, PULASKI, WI 54162-9452
(920) 264-6253
Mailing address
600 BLUE HERON DR, PULASKI, WI 54162-9452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161243-30
WI
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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