Provider Demographics
NPI:1477051100
Name:TUCKER-SCOTT, MARSHA NATALIE (MS RDN CDN)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:NATALIE
Last Name:TUCKER-SCOTT
Suffix:
Gender:F
Credentials:MS RDN CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 SARANAC RD
Mailing Address - Street 2:
Mailing Address - City:W HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-4227
Mailing Address - Country:US
Mailing Address - Phone:718-662-8647
Mailing Address - Fax:
Practice Address - Street 1:1015 SARANAC RD
Practice Address - Street 2:
Practice Address - City:W HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-4227
Practice Address - Country:US
Practice Address - Phone:718-662-8647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty