Healthcare Provider Details

I. General information

NPI: 1306740170
Provider Name (Legal Business Name): PATRICIA SCOTT PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 SOUTHWINDS CT
TROY VA
22974-3736
US

IV. Provider business mailing address

34 SOUTHWINDS CT
TROY VA
22974-3736
US

V. Phone/Fax

Practice location:
  • Phone: 434-906-1216
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number0024199087
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: