Scott, Bethany T
Scott, Bethany T is an individual health care provider with primary practice located at 2350 W Villard Ave Ste 311, Milwaukee WI 53209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Scott, Bethany T can be contacted via phone (414) 466-2424.Contact Information
Primary practice address
2350 W Villard Ave Ste 311
Milwaukee WI 53209
Phone: (414) 466-2424
Fax: (414) 466-2090
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2514033 | Wisconsin |
Profile Details
NPI number | 1386601151 |
---|---|
LBN Legal business name | Scott, Bethany T |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2006 |
Last updated | Oct 30th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386601151 | NPPES |
Wisconsin | MEDICAID | 41193900 |
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