Provider Demographics
NPI:1225326671
Name:SCOTTO, TINA ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:ANN
Last Name:SCOTTO
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 1:17 WENTWORTH DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-5372
Mailing Address - Country:US
Mailing Address - Phone:540-286-1195
Mailing Address - Fax:540-737-5783
Practice Address - Street 1:17 WENTWORTH DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-5372
Practice Address - Country:US
Practice Address - Phone:540-286-1195
Practice Address - Fax:540-737-5783
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001204667163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse