Healthcare Provider Details

I. General information

NPI: 1669063939
Provider Name (Legal Business Name): SCOTT CRNP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SHARON RD STE 3
BEAVER PA
15009-3147
US

IV. Provider business mailing address

178 WINDOVER DR
MIDLAND PA
15059-2216
US

V. Phone/Fax

Practice location:
  • Phone: 724-888-2186
  • Fax: 724-888-2443
Mailing address:
  • Phone: 412-974-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KELLY A SCOTT
Title or Position: OWNER-PRESIDENT
Credential: CRNP, PMHNP-BC
Phone: 412-974-1075