Provider Demographics
NPI:1184175275
Name:SCOTT, ERYN JULIENNE (ND)
Entity type:Individual
Prefix:DR
First Name:ERYN
Middle Name:JULIENNE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:ERYN
Other - Middle Name:JULIENNE
Other - Last Name:O'CONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:962 STONERIDGE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-7083
Mailing Address - Country:US
Mailing Address - Phone:406-586-2626
Mailing Address - Fax:406-586-2676
Practice Address - Street 1:962 STONERIDGE DR STE 2
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-7083
Practice Address - Country:US
Practice Address - Phone:406-586-2626
Practice Address - Fax:406-586-2676
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COND.0000180175F00000X
MTAHC-NAT-LIC-2131175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath