Individual provider · NPI-1

Scott Edward Ewing, FNP-BC

Nurse Practitioner, Family · Bullhead City, AZ

NPI number1447787882
StatusActive
Last updated in NPPESApr 30, 2021

Details

NPI
1447787882
Entity type
Individual (NPI-1)
Name
Mr. Scott Edward Ewing
Credential
FNP-BC
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2017
Certification date
Apr 29, 2021
Last updated
Apr 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP10115AZYes
207Q00000X Family MedicineAP10115AZ

Practice location

1648 Highway 95
Bullhead City, AZ 86442-7906

Phone 928-758-4114 · Fax 928-758-4650

Mailing address

1648 Highway 95
Bullhead City, AZ 86442-7906

Phone 928-758-4114 · Fax 928-758-4650

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