Provider Demographics
NPI:1972826188
Name:SCOTT, ANN MARIE (RN, WOCN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RN, WOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 JEFFERSON AVE
Mailing Address - Street 2:VA MEDICAL CENTER, WOUND CARE/NURSING (118)
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-2127
Mailing Address - Country:US
Mailing Address - Phone:901-523-8990
Mailing Address - Fax:901-577-7240
Practice Address - Street 1:1040 JEFFERSON AVE
Practice Address - Street 2:VA MEDICAL CENTER, WOUND CARE/NURSING (118)
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2127
Practice Address - Country:US
Practice Address - Phone:901-523-8990
Practice Address - Fax:901-577-7240
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000068165163WE0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy