Provider Demographics
NPI:1780704460
Name:SCOTT, NICOLE LIMMINA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:LIMMINA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 FOULK RD STE 200B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3802
Mailing Address - Country:US
Mailing Address - Phone:302-762-6692
Mailing Address - Fax:
Practice Address - Street 1:410 FOULK RD STE 200B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3802
Practice Address - Country:US
Practice Address - Phone:302-762-6692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0028541163W00000X
DELB-0000198363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse