Uzella N Scoville, RN

Individual provider Active NPI General Practice Registered Nurse · Cincinnatus, NY

NPI 1992956692 · NPPES record last updated Aug 28, 2014

Key facts

NPI
1992956692
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
475904 (NY)
Practice address
4743 Clark Rd
Cincinnatus, NY 13040-2156
Phone
(607) 863-3772
NPI assigned
Oct 1, 2008
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
475904NYMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 475904 NY Yes

Addresses

Primary practice location

4743 Clark Rd
Cincinnatus, NY 13040-2156

Mailing address

4743 Clark Rd
Cincinnatus, NY 13040-2156
Phone (607) 863-3772

Other providers in Cincinnatus, NY

All providers in Cincinnatus, NY · General Practice Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.