Provider Demographics
NPI:1225086978
Name:SCOTT, SUSAN FRANCE (MSN FNP NPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:FRANCE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MSN FNP NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 ELLIOTT STREET N
Mailing Address - Street 2:PO BOX 347
Mailing Address - City:WILSALL
Mailing Address - State:MT
Mailing Address - Zip Code:59086-0347
Mailing Address - Country:US
Mailing Address - Phone:406-578-2512
Mailing Address - Fax:406-578-2512
Practice Address - Street 1:309 ELLIOTT STREET N
Practice Address - Street 2:
Practice Address - City:WILSALL
Practice Address - State:MT
Practice Address - Zip Code:59086-0347
Practice Address - Country:US
Practice Address - Phone:406-578-2512
Practice Address - Fax:406-578-2512
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2008-06-27
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2008-06-27
Provider Licenses
StateLicense IDTaxonomies
MT24053163WD0400X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator