Individual
MICHELLE D SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1930 AVENUE J, FORT MADISON, IA 52627-4237
(319) 470-6174
Mailing address
1031 AVENUE D, FORT MADISON, IA 52627-2853
(319) 470-6174
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
311769
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19869
DEPARTMENT OF LABOR
—
Enumeration date
06/01/2020
Last updated
06/01/2020
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