Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP30003057 | WA |
NPI | 1023229424 |
---|---|
Provider Name | Ms. Barbara Jean Scott |
First Address | Everett, WA 98201-1003 |
Second Address | Everett, WA 98201-3546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 06/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
564123 | (02) | |
9623968 | (05) | WA |
S64123 | (02) |