Most Relevant Information
Provider Data
| NPI Number: | 1003586140 |
| Provider Name: | NICOLE MARIE SCOTT |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2021 |
| Last Updated: | 09/20/2021 |
Provider Practice Location
4103 S YALE AVE STE B
TULSA
OK
741356002
Practice Location Phone/Fax
| Phone: | 9183827300 |
| Fax: |
Provider Mailing Location
612 W 146TH ST S APT 122
GLENPOOL
OK
740334449
Provider Mailing Phone/Fax
| Phone: | 9188107156 |
| Fax: |