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Individual

MRS. INGRID SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11 FORRESTER ST, SALEM, MA 01970-4001
(978) 741-2972
Mailing address
11 FORRESTER ST, SALEM, MA 01970-4001
(978) 741-2972

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
197018
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SCNP2678
BCSMA
MA
Enumeration date
08/15/2006
Last updated
07/08/2007
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