Nicole Scott

NPI #1164803433 in Prescott Valley, Arizona

Provider Information

NPI Number: 1164803433
Entity Type: Individual
Name: Nicole Scott
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 12, 2015
Last Updated: Jun 12, 2015

Practice Location

Address: 8603 E. EASTRIDGE DRIVE, SUITE A
City: Prescott Valley
State: Arizona
ZIP Code: 86314
Phone: (928) 777-3280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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