Individual
DEBORAH A. SCATTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1586 COUNTY ROAD 134, ST. CLOUD HOSPITAL, ST. CLOUD, MN 56303
(320) 251-0726
(320) 229-5188
Mailing address
1406 6TH AVE N, ST. CLOUD HOSPITAL, ST. CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7009
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R-093656-9
MN
363LA2200X
Adult Health Nurse Practitioner
R0936569
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344024900
—
MN
Enumeration date
05/17/2006
Last updated
08/06/2012
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