Provider Demographics
NPI:1023398690
Name:MACNAUGHTON, NEIL SCOT (RN, PHD)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:SCOT
Last Name:MACNAUGHTON
Suffix:
Gender:M
Credentials:RN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 SAINT OLAF AVE
Mailing Address - Street 2:ST OLAF COLLEGE DEPARTMENT OF NURSING
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-1574
Mailing Address - Country:US
Mailing Address - Phone:507-786-3348
Mailing Address - Fax:
Practice Address - Street 1:1520 SAINT OLAF AVE
Practice Address - Street 2:ST OLAF COLLEGE DEPARTMENT OF NURSING
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-1574
Practice Address - Country:US
Practice Address - Phone:507-786-3348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR189593-9163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse