Individual
MS. STEPHANIE ANNE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2472
(505) 298-2505
Mailing address
9500 OSUNA RD NE APT 318, ALBUQUERQUE, NM 87111-2283
(505) 220-0427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2018-0035
NM
Other
Enumeration date
06/18/2018
Last updated
04/12/2021
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