Provider Demographics
NPI:1841522323
Name:NAUSE, SCOTT BRIAN (MS, LAC, CA)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:BRIAN
Last Name:NAUSE
Suffix:
Gender:M
Credentials:MS, LAC, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:91 TRINITY ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2202
Mailing Address - Country:US
Mailing Address - Phone:973-579-1920
Mailing Address - Fax:973-579-1920
Practice Address - Street 1:91 TRINITY ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2202
Practice Address - Country:US
Practice Address - Phone:973-579-1920
Practice Address - Fax:973-579-1920
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00031400171100000X
NY001944171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist