Provider Demographics
NPI:1831479260
Name:SCOGGINS, WARREN ANTHONY (RN, ACNP-BC)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:ANTHONY
Last Name:SCOGGINS
Suffix:
Gender:M
Credentials:RN, ACNP-BC
Other - Prefix:
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Mailing Address - Street 1:5411 LANA LN
Mailing Address - Street 2:
Mailing Address - City:GROVES
Mailing Address - State:TX
Mailing Address - Zip Code:77619-3260
Mailing Address - Country:US
Mailing Address - Phone:409-962-2999
Mailing Address - Fax:
Practice Address - Street 1:755 N 11TH ST
Practice Address - Street 2:SUITE P3200
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1500
Practice Address - Country:US
Practice Address - Phone:409-899-4111
Practice Address - Fax:409-899-5670
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX688163363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care