Provider Demographics
NPI:1861509150
Name:SCOTT, ANDREA M (CNM)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:M
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:3301 W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2843
Mailing Address - Country:US
Mailing Address - Phone:414-647-6326
Mailing Address - Fax:414-671-8860
Practice Address - Street 1:1020 N 12TH ST
Practice Address - Street 2:1ST FL
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233
Practice Address - Country:US
Practice Address - Phone:414-219-5201
Practice Address - Fax:414-219-3111
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI96414-030367A00000X
WI160-033367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife