Individual
DANIELLE LYNN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41930 N VENTURE DR, PHOENIX, AZ 85086-3857
(623) 551-0442
Mailing address
8715 W GROVERS AVE, PEORIA, AZ 85382-3067
(661) 208-1662
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
240020
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240020
APRN LICENSE NUMBER
AZ
Enumeration date
10/24/2022
Last updated
02/28/2024
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