Provider Demographics
NPI:1477827996
Name:SCOTT, MARCELLA ELIZABETH (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARCELLA
Middle Name:ELIZABETH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4199 GATEWAY BLVD
Mailing Address - Street 2:STE 3100
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-7906
Mailing Address - Country:US
Mailing Address - Phone:812-476-6161
Mailing Address - Fax:812-476-6162
Practice Address - Street 1:4199 GATEWAY BLVD
Practice Address - Street 2:STE 3100
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-7906
Practice Address - Country:US
Practice Address - Phone:812-842-4550
Practice Address - Fax:812-842-4549
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28160355A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201062880Medicaid
KY7100401640Medicaid
KY7100401640Medicaid