Healthcare Provider Details

I. General information

NPI: 1801774294
Provider Name (Legal Business Name): ELAINA SCOUGALE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 DILLON DR
SPRING CREEK NV
89815-6326
US

IV. Provider business mailing address

675 DILLON DR
SPRING CREEK NV
89815-6326
US

V. Phone/Fax

Practice location:
  • Phone: 775-934-0546
  • Fax:
Mailing address:
  • Phone: 775-934-0546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number884044
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number884044
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: