Individual
HANATU A SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
38 CRAIG AVE, MADISON, WI 53705
(404) 543-0265
Mailing address
38 CRAIG AVE, MADISON, WI 53705
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311217-031
WI
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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