Provider Demographics
NPI:1447074232
Name:SCOTT, ELIZABETH BRENNAN
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BRENNAN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:BRENNAN
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:123 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKES
Mailing Address - State:ND
Mailing Address - Zip Code:58474-1620
Mailing Address - Country:US
Mailing Address - Phone:701-210-2604
Mailing Address - Fax:
Practice Address - Street 1:221 N 15TH ST APT D2
Practice Address - Street 2:
Practice Address - City:OAKES
Practice Address - State:ND
Practice Address - Zip Code:58474-1552
Practice Address - Country:US
Practice Address - Phone:701-210-2604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant