Individual
TARA LEILA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
21727 76TH AVE W STE C, EDMONDS, WA 98026-7549
(206) 677-8167
Mailing address
21727 76TH AVE W STE C, EDMONDS, WA 98026-7549
(206) 677-8167
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1231851
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61231851
WA
390200000X
Student in an Organized Health Care Education/Training Program
RN60636066
WA
Other
Enumeration date
08/28/2020
Last updated
03/13/2026
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