Individual
MIRANDA CORRINN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
200 EXECUTIVE BLVD, SOUTHINGTON, CT 06489-1042
(203) 688-4242
Mailing address
200 EXECUTIVE BLVD, SOUTHINGTON, CT 06489-1042
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
17654
CT
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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