Healthcare Provider Details

I. General information

NPI: 1437114196
Provider Name (Legal Business Name): LINDA KAY SCOTT N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE STE 6400
DENVER CO
80218-1294
US

IV. Provider business mailing address

8243 S SAINT PAUL WAY
CENTENNIAL CO
80122-3415
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-7200
  • Fax: 303-839-7229
Mailing address:
  • Phone: 303-773-3370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number49239
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: