Vandawalker, Scott G

Vandawalker, Scott G is an individual health care provider with primary practice located at 6455 S Yosemite St 6Th Floor, Greenwood Village CO 80111-5139. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Vandawalker, Scott G can be contacted via phone (303) 652-7468.

Contact Information

Primary practice address
6455 S Yosemite St 6Th Floor Greenwood Village CO 80111-5139
Phone: (303) 652-7468
Fax: (855) 307-6951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 86563 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0003114-NP Colorado

Profile Details

NPI number 1194896753
LBN Legal business name Vandawalker, Scott G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Oct 14th, 2015 - about 11 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 1194896753 NPPES
Colorado MEDICAID 98001574

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