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Individual

MS. BREENECIA SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
4222 N 12TH ST, PHOENIX, AZ 85014-6008
(480) 714-5100
Mailing address
4222 N 12TH ST, PHOENIX, AZ 85014-6008
(480) 714-5100

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95149184
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
254091
AZ

Other

Enumeration date
07/29/2018
Last updated
04/02/2026
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