MEDICARE: PATRICIA ANN SCOTT ARNP

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	390200000X	Student in an Organized Health Care Education/Training Program	44467	KS

General Provider Information

NPI Number	:	1528177490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN SCOTT ARNP

Provider Business Mailing Address
First Line	:	600 PARK ST
Second Line	:
City	:	HAYS
State	:	KS
Zip	:	67601-4009
Country	:	US
Telephone Number	:	785-628-4293
Fax Number	:	785-628-4089

Provider Business Practice Location Address
First Line	:	600 PARK ST
Second Line	:
City	:	HAYS
State	:	KS
Zip	:	67601-4009
Country	:	US
Telephone Number	:	785-628-4293
Fax Number	:	785-628-4089

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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