Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 671930 | TX |
NPI | 1396908729 |
---|---|
Provider Name | Ms. Marilen F Scott |
First Address | Dallas, TX 75235-6246 |
Second Address | Dallas, TX 75235-6246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 15/03/2021 |