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Individual

BETHANY T SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2350 W VILLARD AVE, STE 311, MILWAUKEE, WI 53209
(414) 466-2424
(414) 466-2090
Mailing address
W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
(414) 566-8000
(414) 291-2630

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2514033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41193900
WI
Enumeration date
04/27/2006
Last updated
10/30/2017
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