Healthcare Provider Details

I. General information

NPI: 1811462344
Provider Name (Legal Business Name): CHERI R SCOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2018
Last Update Date: 10/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 4TH AVE
BAYARD NE
69334-2065
US

IV. Provider business mailing address

PO BOX 607
BAYARD NE
69334-0607
US

V. Phone/Fax

Practice location:
  • Phone: 308-586-1211
  • Fax: 308-586-1638
Mailing address:
  • Phone: 308-586-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number32542
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: