Healthcare Provider Details

I. General information

NPI: 1609758630
Provider Name (Legal Business Name): PATRICA SCOTT RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N BRADDOCK AVE
PITTSBURGH PA
15208-2512
US

IV. Provider business mailing address

333 N BRADDOCK AVE
PITTSBURGH PA
15208-2512
US

V. Phone/Fax

Practice location:
  • Phone: 412-864-5084
  • Fax:
Mailing address:
  • Phone: 816-807-3882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN286505L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: