Provider Demographics
NPI:1962861609
Name:SCOTT, ANNETTE M (BSN, RN, LSN)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:M
Last Name:SCOTT
Suffix:
Gender:F
Credentials:BSN, RN, LSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1426
Mailing Address - Country:US
Mailing Address - Phone:740-532-4133
Mailing Address - Fax:
Practice Address - Street 1:105 S 5TH ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-1426
Practice Address - Country:US
Practice Address - Phone:740-532-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.183302-163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool