Provider Demographics
NPI:1881024818
Name:SCOTT, MARY CATHERINE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CATHERINE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CATHERINE
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 48089
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30604-8089
Mailing Address - Country:US
Mailing Address - Phone:706-389-3740
Mailing Address - Fax:706-389-3951
Practice Address - Street 1:7936 US HIGHWAY 277
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:OK
Practice Address - Zip Code:73538-2144
Practice Address - Country:US
Practice Address - Phone:580-493-6900
Practice Address - Fax:580-492-6902
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN281523363LF0000X
OKR0097211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily