Provider Demographics
NPI:1639152853
Name:SCOTT, KAREN MR (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MR
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4031 TILDEN DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-7949
Mailing Address - Country:US
Mailing Address - Phone:916-783-7430
Mailing Address - Fax:
Practice Address - Street 1:2360 STOCKTON BLVD
Practice Address - Street 2:SUITE 1100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2228
Practice Address - Country:US
Practice Address - Phone:916-734-3461
Practice Address - Fax:916-734-3591
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN395895163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management