Healthcare Provider Details

I. General information

NPI: 1750188371
Provider Name (Legal Business Name): ABBY MAE SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2025
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 PAWNEE LN
BROKEN BOW NE
68822-2738
US

IV. Provider business mailing address

821 PAWNEE LN
BROKEN BOW NE
68822-2738
US

V. Phone/Fax

Practice location:
  • Phone: 308-870-0552
  • Fax:
Mailing address:
  • Phone: 308-870-0552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: