Most Relevant Information
Provider Data
| NPI Number: | 1003218611 |
| Provider Name: | SCOTT NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/25/2014 |
| Last Updated: | 09/10/2015 |
Provider Practice Location
11102 SUNRISE BLVD E
STE 103
PUYALLUP
WA
983748846
Practice Location Phone/Fax
| Phone: | 2538488797 |
| Fax: |
Provider Mailing Location
15217 105TH AVENUE CT E
PUYALLUP
WA
983749748
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |