Scott, Bethany T

Scott, Bethany T is an individual health care provider with primary practice located at 2350 W Villard Ave Ste 311, Milwaukee WI 53209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Scott, Bethany T can be contacted via phone (414) 466-2424.

Contact Information

Primary practice address
2350 W Villard Ave Ste 311 Milwaukee WI 53209
Phone: (414) 466-2424
Fax: (414) 466-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2514033 Wisconsin

Profile Details

NPI number 1386601151
LBN Legal business name Scott, Bethany T
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Oct 30th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386601151 NPPES
Wisconsin MEDICAID 41193900

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