Anita Scofield
Individual provider Active NPI Registered Nurse · Loyal, WI
NPI 1700209657 · NPPES record last updated Jan 29, 2014
Key facts
- NPI
- 1700209657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 93780-30 (WI)
- Practice address
- 508 W South St
Loyal, WI 54446-9509 - Phone
- (715) 503-1016
- NPI assigned
- Jan 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93780-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 93780-30 | WI | Yes |
Addresses
Primary practice location
508 W South St
Loyal, WI 54446-9509
Mailing address
508 W South St
Loyal, WI 54446-9509
Phone (715) 503-1016
Other providers in Loyal, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.