Individual
ALEXANDER SCOTT ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2285 CHALLENGER WAY, SANTA ROSA, CA 95407-5418
(707) 569-2300
Mailing address
19378 HIDDEN VALLEY RD, GUERNEVILLE, CA 95446-9672
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
160077
OH
164W00000X
Licensed Practical Nurse
333052
NY
164X00000X
Licensed Vocational Nurse
Primary
718274
CA
Other
Enumeration date
05/17/2017
Last updated
11/25/2025
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