Provider Demographics
NPI:1407867187
Name:SCOTT, CLAUDIA RAE (NP)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:RAE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2175 TWILIGHT PASS
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-7708
Mailing Address - Country:US
Mailing Address - Phone:585-732-6898
Mailing Address - Fax:
Practice Address - Street 1:217 S GRAND AVE
Practice Address - Street 2:C/O MHM SERVICES
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933-1828
Practice Address - Country:US
Practice Address - Phone:517-708-3123
Practice Address - Fax:517-708-3450
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704283042363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health