Provider Demographics
NPI:1548400401
Name:SCOTT, LINDA MARIE (MS, CFNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS, CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NIH NIAID LAD 10 CENTER DR
Mailing Address - Street 2:ROOM 11C415
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-3917
Mailing Address - Fax:301-480-8384
Practice Address - Street 1:NIH NIAID LAD 10 CENTER DR
Practice Address - Street 2:ROOM 11C415
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-3917
Practice Address - Fax:301-480-8384
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR111460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily