Provider Demographics
NPI:1689367260
Name:SCOTT, STEPHANIE PAULETTE
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:PAULETTE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 HATTON HTS
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:VT
Mailing Address - Zip Code:05853-9652
Mailing Address - Country:US
Mailing Address - Phone:802-673-5274
Mailing Address - Fax:
Practice Address - Street 1:489 HATTON HTS
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:VT
Practice Address - Zip Code:05853-9652
Practice Address - Country:US
Practice Address - Phone:802-673-5274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0086753163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse