Individual
DONNA LATRAE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-2110
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
203813
GA
363LF0000X
Family Nurse Practitioner
Primary
1-106008
AL
Other
Enumeration date
03/27/2019
Last updated
06/30/2023
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