Provider Demographics
NPI:1124668678
Name:SCOTT, TIFFANY (MSN-ED, RN)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MSN-ED, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 BENMAR DR STE 1395
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3172
Mailing Address - Country:US
Mailing Address - Phone:832-359-6670
Mailing Address - Fax:
Practice Address - Street 1:440 BENMAR DR STE 1395
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3172
Practice Address - Country:US
Practice Address - Phone:832-329-5646
Practice Address - Fax:844-273-8121
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide