IVAN EARL SCOTT

PHILADELPHIA, PA
NPI1770474967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP031835)
Enumeration Date2025-07-14
Last Update Date2025-07-14
Business Address
IVAN EARL SCOTT
2144 CECIL B MOORE AVE
PHILADELPHIA, PA 19121-4014
Phone number: 215-320-6187
Mailing Address
IVAN EARL SCOTT
2144 CECIL B MOORE AVE
PHILADELPHIA, PA 19121-4014
Phone number: 215-320-6187
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