Individual
MS. MARY ANN K SCOGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1607-33
WI
364SA2200X
Adult Health Clinical Nurse Specialist
1607
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00496
MEDICARE GROUP
—
01
—
11022726
PREFERRED ONE
—
01
—
35P03SC
BCBS MN
—
05
—
43910900
—
WI
01
—
49170
MEDICARE GROUP
—
01
—
500011314
PALMETTO GBA RR MEDICARE
—
Enumeration date
06/21/2005
Last updated
04/02/2025
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