Most Relevant Information
Provider Data
| NPI Number: | 1003442708 |
| Provider Name: | SCOT NOLAN DNP, RN, CNS |
| Entity Type: | Individual |
| Taxonomy Code: | 364SN0800X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 423608 |
Most Important Dates
| Enumeration Date: | 03/13/2020 |
| Last Updated: | 03/13/2020 |
Provider Practice Location
4077 FIFTH AVE
SAN DIEGO
CA
921032105
Practice Location Phone/Fax
| Phone: | 6196863595 |
| Fax: |
Provider Mailing Location
11510 POBLADO RD
SAN DIEGO
CA
921271435
Provider Mailing Phone/Fax
| Phone: | 8589431082 |
| Fax: |