Individual
TRACI L SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10 WATERSIDE PLZ, 36-H, NEW YORK, NY 10010-2602
(646) 402-2870
Mailing address
10 WATERSIDE PLZ, 36-H, NEW YORK, NY 10010-2602
(646) 402-2870
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F360531-1
NY
367A00000X
Advanced Practice Midwife
Primary
F001614-1
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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