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Individual

MARY R SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 MEDICAL CENTER DR, DHMC, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
1 MEDICAL CENTER DR, DHMC, LEBANON, NH 03756-1000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
021474-23-05
NH
363LA2200X
Adult Health Nurse Practitioner
101-0013378
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0NP1056
VT
05
30011324
NH
Enumeration date
07/30/2006
Last updated
07/23/2009
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