Individual
ELIZABETH SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 CABRILLO HWY SOUTH, SUITE 100A, HALF MOON BAY, CA 94019
(203) 237-2229
Mailing address
225 CABRILLO HWY SOUTH, SUITE 100A, HALF MOON BAY, CA 94019
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
99543
CT
363LF0000X
Family Nurse Practitioner
Primary
005077
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
07/17/2012
Last updated
03/04/2020
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