Provider Demographics
NPI:1699490920
Name:SCOTT, BRANDY DARLENE (NA)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:DARLENE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:NA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SCIO
Mailing Address - State:OH
Mailing Address - Zip Code:43988-9781
Mailing Address - Country:US
Mailing Address - Phone:740-462-6987
Mailing Address - Fax:
Practice Address - Street 1:323 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SCIO
Practice Address - State:OH
Practice Address - Zip Code:43988-9781
Practice Address - Country:US
Practice Address - Phone:740-462-6987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health