Individual
VANESSA J SCOTT
Active
Individual
VANESSA J SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
557
WY
363AS0400X
Surgical Physician Assistant
—
AL
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07901322
—
MS
01
—
102I975958
MEDICARE
—
05
—
126289
—
AL
05
—
126868
—
AL
05
—
126869
—
AL
05
—
126872
—
AL
01
—
51112353
BLUE CROSS & BLUE SHIELD
AL
01
—
51112354
BLUE CROSS & BLUE SHIELD
AL
01
—
51112355
BLUE CROSS & BLUE SHIELD
AL
01
—
51112356
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
02/07/2010
Last updated
05/25/2021
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