Individual
WANDA EILEEN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 AMETHYST DR, FRUITA, CO 81521-3307
(970) 858-5306
Mailing address
510 29.5 ROAD, GRAND JUNCTION, CO 81504
(970) 254-4104
(970) 254-4118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115193
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88081338
—
CO
Enumeration date
04/19/2007
Last updated
07/08/2007
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