Provider Demographics
NPI:1073027660
Name:YORK, SCARLETT (RN)
Entity Type:Individual
Prefix:
First Name:SCARLETT
Middle Name:
Last Name:YORK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25535 PACIFIC HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-5047
Mailing Address - Country:US
Mailing Address - Phone:949-215-6408
Mailing Address - Fax:
Practice Address - Street 1:25535 PACIFIC HILLS DR
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-5047
Practice Address - Country:US
Practice Address - Phone:949-215-6408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-19
Last Update Date:2017-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95063854163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse