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Individual

MR. NATHAN WADE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.P.R.N.

Contact information

Practice address
154 MAIN ST, OLD SAYBROOK, CT 06475-2373
(860) 395-1212
(860) 358-8654
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005125
CT

Other

Enumeration date
12/04/2012
Last updated
04/12/2017
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