MEDICARE: SCOTT PARIS 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP30006338	WA
2	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	AP30006338RN00135307	WA
3	163WA2000X	Administrator Registered Nurse	AP30006338RN00135307	WA
4	163W00000X	Registered Nurse	AP30006338RN00135307	WA
5	163WC0400X	Case Management Registered Nurse	AP30006338RN00135307	WA
6	163WC1600X	Continuing Education/Staff Development Registered Nurse	AP30006338RN00135307	WA
7	163WN0800X	Neuroscience Registered Nurse	AP30006338RN00135307	WA
8	163WP0000X	Pain Management Registered Nurse	AP30006338RN00135307	WA
9	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	AP30006338RN00135307	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0193813	OTHER	WA	L & I
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679576672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT PARIS ARNP

Provider Business Mailing Address
First Line	:	8910 MAIN ST E
Second Line	:	SUITE C
City	:	BONNEY LAKE
State	:	WA
Zip	:	98391-8988
Country	:	US
Telephone Number	:	253-299-6556
Fax Number	:

Provider Business Practice Location Address
First Line	:	8910 MAIN ST E
Second Line	:
City	:	BONNEY LAKE
State	:	WA
Zip	:	98391-8988
Country	:	US
Telephone Number	:	253-299-6556
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/07/2023

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