Individual
MACDALINE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4097
(215) 203-3066
(215) 634-1713
Mailing address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4097
(215) 203-3066
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025008
PA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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