Individual
MATTHEW D SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6135
Mailing address
PO BOX 563, TAYLOR, AZ 85939-0563
(928) 243-2252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN103245
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
229005
AZ
Other
Enumeration date
12/01/2008
Last updated
11/01/2019
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