Individual
MRS. STACI SUZANNE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, CPNP
Contact information
Practice address
450 NW GILMAN BLVD STE 105, ISSAQUAH, WA 98027-2483
(425) 651-4242
Mailing address
450 NW GILMAN BLVD STE 105, ISSAQUAH, WA 98027-2483
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209.006850
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60081924
WA
Other
Enumeration date
12/24/2007
Last updated
06/17/2024
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