Individual
MR. SCOTT MICHAEL WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12565 WEST CENTER ROAD, SUITE 100, OMAHA, NE 68144-3810
(402) 342-5566
(402) 342-0034
Mailing address
12565 WEST CENTER ROAD, SUITE 100, OMAHA, NE 68144-3810
(402) 342-5566
(402) 342-0034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
49022
NE
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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