Provider Demographics
NPI:1780828236
Name:SCOTT, EDITH HUNT (RN)
Entity Type:Individual
Prefix:MS
First Name:EDITH
Middle Name:HUNT
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 1:2328 TALCO DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-1423
Mailing Address - Country:US
Mailing Address - Phone:214-372-3801
Mailing Address - Fax:
Practice Address - Street 1:1452 OAK VISTA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1962
Practice Address - Country:US
Practice Address - Phone:214-372-3801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224671163W00000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility