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NPI Code Detail

MEDICARE: MISS AISSA YOLANDA SCOTT ARNP

MEDICARE: MISS AISSA YOLANDA 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
1163W00000XRegistered NurseARNP3194802FL

General Provider Information

NPI Number : 1790265874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AISSA YOLANDA SCOTT ARNP
Provider Business Mailing Address
First Line : 436 YORK DALE DR
Second Line :
City : RUSKIN
State : FL
Zip : 33570-3208
Country : US
Telephone Number : 172-780-4787
Fax Number :
Provider Business Practice Location Address
First Line : 4401 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-7097
Country : US
Telephone Number : 813-393-3734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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