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NPI Code Detail

MEDICARE: RENEE A. SCOTT CRT

MEDICARE: RENEE A. SCOTT CRT
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
1227800000XCertified Respiratory TherapistRC1539NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RC1539OTHERNVCRT - LICENSE

General Provider Information

NPI Number : 1720230022
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE A. SCOTT CRT
Provider Business Mailing Address
First Line : PO BOX 360001
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89036-8108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4700 LAS VEGAS BLVD N
Second Line :
City : LAS VEGAS
State : NV
Zip : 89191-6600
Country : US
Telephone Number : 702-636-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2008
Last Update Date : 10/17/2008

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