Kristin Marie Scarborough
Nurse Practitioner - Gerontology
1470 Tobias Gadson Blvd Ste 203
Charleston
, South Carolina 29407-4925
Kristin Marie Scarborough
Nurse Practitioner - Gerontology
1470 Tobias Gadson Blvd Ste 203
Charleston
, South Carolina 29407-4925
(800) 564-5952
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Kristin Marie Scarborough
- 333 N Summit St Fl 7
- Toledo, OH
- Zip : 43604-2615
- Fax : (800) 564-5952
- Phone : (800) 427-1902
Second Address
- Kristin Marie Scarborough
- 1470 Tobias Gadson Blvd Ste 203
- Charleston, SC
- Zip : 29407-4925
- Phone : (843) 766-7646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 21563 | SC |
National Provider Identifier
| NPI | 1053801720 |
|---|---|
| Provider Name | Kristin Marie Scarborough |
| First Address | Toledo, OH 43604-2615 |
| Second Address | Charleston, SC 29407-4925 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2018 |
| Last Update Date | 17/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.