Individual
DR. ILEANA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PPCNP-BC
Contact information
Practice address
7910 FROST ST STE 200, SAN DIEGO, CA 92123-2776
(858) 966-4032
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
001436
NV
363LP0200X
Pediatric Nurse Practitioner
Primary
14157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821142803
—
CA
05
—
1821142803
—
NV
Enumeration date
01/23/2007
Last updated
10/07/2016
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