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Physician Compare National (NPI:1295163483)

HEALTHCARE PROVIDER: SCOT DARRELL FLESHMAN MSN, FNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1295163483
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0840514485
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150528000317
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name FLESHMAN
Individual professional last name
Provider First Name SCOT
Individual professional first name
Provider Middle Name D
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4423 POINT FOSDICK DR NW
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 306
Group Practice or individual's line 2 address
City GIG HARBOR
Group Practice or individual's city
State WA
Group Practice or individual's state
Zip Code 983351794
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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