Vandawalker, Scott G
Vandawalker, Scott G is an individual health care provider with primary practice located at 6455 S Yosemite St 6Th Floor, Greenwood Village CO 80111-5139. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Vandawalker, Scott G can be contacted via phone (303) 652-7468.Contact Information
Primary practice address
6455 S Yosemite St 6Th Floor
Greenwood Village CO 80111-5139
Phone: (303) 652-7468
Fax: (855) 307-6951
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 86563 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN.0003114-NP | Colorado |
Profile Details
NPI number | 1194896753 |
---|---|
LBN Legal business name | Vandawalker, Scott G |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 13th, 2006 |
Last updated | Oct 14th, 2015 - about 10 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 | 1194896753 | NPPES |
Colorado | MEDICAID | 98001574 |
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