MEDICARE: MRS. CRYSTINA SCOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter	MA880	UT

General Provider Information

NPI Number	:	1093120008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRYSTINA SCOTT

Provider Business Mailing Address
First Line	:	PO BOX 91030
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89009-1030
Country	:	US
Telephone Number	:	702-610-4722
Fax Number	:	702-990-9445

Provider Business Practice Location Address
First Line	:	70 E HORIZON RIDGE PKWY STE 140
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89002-7936
Country	:	US
Telephone Number	:	702-610-4722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2014
Last Update Date	:	06/27/2014

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