Provider Demographics
NPI:1023454212
Name:SCOTT, NANCY THERESE (DNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:THERESE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5841 S MARYLAND AVENUE
Mailing Address - Street 2:UNIVERSITY OF CHICAGO MEDICINE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637
Mailing Address - Country:US
Mailing Address - Phone:773-926-9147
Mailing Address - Fax:773-702-8690
Practice Address - Street 1:5841 S MARYLAND AVENUE
Practice Address - Street 2:UNIVERSITY OF CHICAGO MEDICINE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637
Practice Address - Country:US
Practice Address - Phone:773-926-9147
Practice Address - Fax:773-702-8690
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209.010262364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health