Provider Demographics
NPI:1245557826
Name:SCOTT, SERETTA LASHAWN (RN)
Entity Type:Individual
Prefix:MRS
First Name:SERETTA
Middle Name:LASHAWN
Last Name:SCOTT
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 1:1472 PARKHILL RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1738
Mailing Address - Country:US
Mailing Address - Phone:216-382-0702
Mailing Address - Fax:
Practice Address - Street 1:1472 PARKHILL RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44121-1738
Practice Address - Country:US
Practice Address - Phone:216-382-0702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN353962163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse