Individual
NICOLE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8603 E. EASTRIDGE DRIVE, SUITE A, PRESCOTT VALLEY, AZ 86314
(928) 777-3280
(928) 717-1660
Mailing address
8603 E. EASTRIDGE DRIVE, SUITE A, PRESCOTT VALLEY, AZ 86314
(928) 777-3280
(928) 717-1660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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