Healthcare Provider Details

I. General information

NPI: 1225086978
Provider Name (Legal Business Name): SUSAN FRANCE SCOTT MSN FNP NPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date: 07/17/2007
Reactivation Date: 06/27/2008

III. Provider practice location address

309 ELLIOTT STREET N
WILSALL MT
59086-0347
US

IV. Provider business mailing address

309 ELLIOTT STREET N PO BOX 347
WILSALL MT
59086-0347
US

V. Phone/Fax

Practice location:
  • Phone: 406-578-2512
  • Fax: 406-578-2512
Mailing address:
  • Phone: 406-578-2512
  • Fax: 406-578-2512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24053
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number24053
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: