Provider Demographics
NPI:1972741007
Name:SCOTT-CHADWELL, ANNETTE ELLEN (RN)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:ELLEN
Last Name:SCOTT-CHADWELL
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 1:6997 LAIR DR
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-9468
Mailing Address - Country:US
Mailing Address - Phone:715-401-1628
Mailing Address - Fax:
Practice Address - Street 1:6997 LAIR DR
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-9468
Practice Address - Country:US
Practice Address - Phone:715-401-1628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI108751-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse