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Individual

ERICA SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P

Contact information

Practice address
1617 HEMPHILL ST, FORT WORTH, TX 76104-4709
(817) 927-3554
(817) 927-3603
Mailing address
1617 HEMPHILL ST, FORT WORTH, TX 76104-4709
(817) 927-3554
(817) 927-3603

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.12353NP
OH
363LF0000X
Family Nurse Practitioner
669291
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0056833
OH
Enumeration date
07/01/2008
Last updated
04/09/2012
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