Individual
SCOTT MIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
611 BELMONT AVE, YOUNGSTOWN, OH 44502-1037
(330) 744-2991
Mailing address
1211 CAVALCADE DR, YOUNGSTOWN, OH 44515-3841
(330) 518-8138
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 375123
OH
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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