Individual
MRS. MARILYN R. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
28 BLACK COLE DRIVE, FORT WASHAKIE, WY 82514
(377) 335-5983
Mailing address
28 BLACK COLE DRIVE, FORT WASHAKIE, WY 82514
(377) 335-5983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000504
IL
Other
Enumeration date
12/01/2005
Last updated
10/06/2008
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