Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP1101792 | FL |
N | 363LW0102X | Nurse Practitioner - Women's Health | 1101792 | FL |
NPI | 1083718563 |
---|---|
Provider Name | Ms. Gillian Catherine Scott |
First Address | Doral, FL 33126-1828 |
Second Address | Doral, FL 33126-1828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 23/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
303884000 | (05) | FL |