Provider Demographics
NPI:1497806772
Name:MOUNTS, HAROLD SCOTT (ARNP)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:SCOTT
Last Name:MOUNTS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 S COOLIDGE ST
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-1872
Mailing Address - Country:US
Mailing Address - Phone:509-793-9715
Mailing Address - Fax:
Practice Address - Street 1:1550 S PIONEER WAY STE 250
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-4616
Practice Address - Country:US
Practice Address - Phone:509-793-9784
Practice Address - Fax:509-764-3280
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005910363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8947282OtherCV
WA1060374Medicaid
WA0235931OtherL&I
WA9656992Medicaid
WAP75429Medicare UPIN
WA0235931OtherL&I