Healthcare Provider Details

I. General information

NPI: 1134649098
Provider Name (Legal Business Name): MELANIE KAY SCOTT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE KAY HOSKER PA-C

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 W FRYE RD
CHANDLER AZ
85224-6282
US

IV. Provider business mailing address

2963 S SANTA ANNA CT
CHANDLER AZ
85286-8044
US

V. Phone/Fax

Practice location:
  • Phone: 844-609-2763
  • Fax:
Mailing address:
  • Phone: 508-468-7539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number8630
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3864
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: