Provider Demographics
NPI:1023043932
Name:SCOTT, NANCY T (ANP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:T
Last Name:SCOTT
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:TEIXEIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-350-2300
Mailing Address - Fax:508-350-2309
Practice Address - Street 1:1 COMPASS WAY STE 200
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1464
Practice Address - Country:US
Practice Address - Phone:508-350-2300
Practice Address - Fax:508-350-2309
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158402363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP268801OtherMEDICARE PTAN
MA355071Medicaid
MA355071Medicaid
NP2688Medicare UPIN