Provider Demographics
NPI:1720108855
Name:SCOTT-MARSH, PATRICIA DARLENE (RN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DARLENE
Last Name:SCOTT-MARSH
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:RR 2 BOX 5430
Mailing Address - Street 2:
Mailing Address - City:PORUM
Mailing Address - State:OK
Mailing Address - Zip Code:74455-9511
Mailing Address - Country:US
Mailing Address - Phone:918-484-5472
Mailing Address - Fax:
Practice Address - Street 1:1407 NE D ST
Practice Address - Street 2:SUITE B
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-2815
Practice Address - Country:US
Practice Address - Phone:918-967-8491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR 0027344163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult