Provider Demographics
NPI:1083992341
Name:SCOTT, ANN M (APRN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:SCOTT
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:918 20TH ST
Mailing Address - Street 2:114 N. MAIN
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-1237
Mailing Address - Country:US
Mailing Address - Phone:308-537-4066
Mailing Address - Fax:308-537-7310
Practice Address - Street 1:114 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BRADY
Practice Address - State:NE
Practice Address - Zip Code:69123-2749
Practice Address - Country:US
Practice Address - Phone:308-584-3770
Practice Address - Fax:308-584-3772
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2016-12-01
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Provider Licenses
StateLicense IDTaxonomies
NE111251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE086999008Medicare PIN