Provider Demographics
NPI:1982854196
Name:SCOTT, VIRGINIA DANYEL (RN)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:DANYEL
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 1:3628 CASTANO DR
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45416-1106
Mailing Address - Country:US
Mailing Address - Phone:937-274-9131
Mailing Address - Fax:
Practice Address - Street 1:3628 CASTANO DR
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45416-1106
Practice Address - Country:US
Practice Address - Phone:937-274-9131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 343935163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse