Individual
MICHAELA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
322 LOWER CREEK RD, ITHACA, NY 14850-9143
(607) 423-8822
Mailing address
322 LOWER CREEK RD, ITHACA, NY 14850-9143
(607) 423-8822
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
793280
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
793280
NY
163WP0200X
Pediatric Registered Nurse
Primary
793280
NY
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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