Healthcare Provider Details

I. General information

NPI: 1699618140
Provider Name (Legal Business Name): DANNAH LAEL SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6316 PICCADILLY SQUARE DR STE A
MOBILE AL
36609-5143
US

IV. Provider business mailing address

5204 W BELOIT RD
MILWAUKEE WI
53214-5334
US

V. Phone/Fax

Practice location:
  • Phone: 251-343-0010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3-002717
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: