Scott, Nina D

Scott, Nina D is an individual health care provider with primary practice located at 3512 Stellhorn Rd Suite 100, Fort Wayne IN 46815-4631. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Scott, Nina D can be contacted via phone (260) 483-9081.

Contact Information

Primary practice address
3512 Stellhorn Rd Suite 100 Fort Wayne IN 46815-4631
Phone: (260) 483-9081
Fax: (260) 483-9196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28104970 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000026 Indiana

Profile Details

NPI number 1497730535
LBN Legal business name Scott, Nina D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Mar 21st, 2017 - about 9 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 1497730535 NPPES
Indiana Other 500005028 RR MEDICARE
Indiana MEDICAID 100359310A RR MEDICARE

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