Scott, Lateisha

Scott, Lateisha is an individual health care provider with primary practice located at 1613 N Mckenzie St , Foley AL 36535-2247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Scott, Lateisha can be contacted via phone (251) 949-3710.

Contact Information

Primary practice address
1613 N Mckenzie St Foley AL 36535-2247
Phone: (251) 949-3710
Fax: (251) 949-3715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-122964 Alabama

Profile Details

NPI number 1215333752
LBN Legal business name Scott, Lateisha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2014
Last updated Nov 13th, 2020 - about 6 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 1215333752 NPPES
Alabama MEDICAID 168590
Alabama MEDICAID 7100679910
Alabama MEDICAID 00608511
Alabama MEDICAID 1215333752

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