Individual
NATHAN SCOTTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN CRNA
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 697-5804
Mailing address
536 S MOODY RD, SAINT CROIX FALLS, WI 54024-9407
(715) 808-1457
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109308
MN
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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