Provider Demographics
NPI:1558167122
Name:SCOTT, MAKAYLA WAI-LAN
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:WAI-LAN
Last Name:SCOTT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 TEDDY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-2342
Mailing Address - Country:US
Mailing Address - Phone:415-902-9980
Mailing Address - Fax:
Practice Address - Street 1:342 TEDDY AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94134-2342
Practice Address - Country:US
Practice Address - Phone:415-902-9980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula