Individual
MS. JOHANNA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
123 FOXTROT DRIVE, GALENA, MO 65656
(417) 464-8457
Mailing address
123 FOXTROT DRIVE, GALENA, MO 65656
(417) 464-8457
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
106334
MO
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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