Provider Demographics
NPI:1417082835
Name:SCUTT, WENDY (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:SCUTT
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PENIKESE ST
Mailing Address - Street 2:P.O. BOX 724
Mailing Address - City:WEST WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02576-1108
Mailing Address - Country:US
Mailing Address - Phone:508-743-7838
Mailing Address - Fax:508-743-7031
Practice Address - Street 1:8 PENIKESE ST
Practice Address - Street 2:
Practice Address - City:WEST WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02576-1108
Practice Address - Country:US
Practice Address - Phone:508-743-7838
Practice Address - Fax:508-743-7031
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide