Provider Demographics
NPI:1659128064
Name:SCOTT, TONI LYNN (RN)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:LYNN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3672 E 900 N
Mailing Address - Street 2:
Mailing Address - City:RIDGEVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47380-9142
Mailing Address - Country:US
Mailing Address - Phone:865-696-9364
Mailing Address - Fax:
Practice Address - Street 1:473 SE GREENVILLE AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:IN
Practice Address - Zip Code:47394-9436
Practice Address - Country:US
Practice Address - Phone:765-584-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28173815C163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency