Provider Demographics
NPI:1578372967
Name:SCOTT, HADIE MARIE
Entity type:Individual
Prefix:
First Name:HADIE
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HADIE
Other - Middle Name:MARIE
Other - Last Name:DIMANTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7421 LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-4121
Mailing Address - Country:US
Mailing Address - Phone:216-702-4596
Mailing Address - Fax:
Practice Address - Street 1:7715 EVE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-4150
Practice Address - Country:US
Practice Address - Phone:216-702-4596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion