Individual
BRENDA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8404 MANUEL CIA PL NE, ALBUQUERQUE, NM 87122-2813
(505) 797-0366
Mailing address
8404 MANUEL CIA PL NE, ALBUQUERQUE, NM 87122-2813
(505) 797-0366
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R54435
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R54435
RN LICENSE
NM
Enumeration date
07/29/2009
Last updated
07/29/2009
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