Ivan Earl Scott
Ivan Earl Scott is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.
- Years since qualifying
- 10
- Licensed in
- PA
- In the registry since
- 2025
Practice location Address checks out
2144 Cecil B Moore AvePhiladelphia, PA 19121-4014
Phone: (215) 320-6187
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence SP031835 (PA) |
|---|
Record details
| NPI number | 1770474967 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 14, 2025 |
| Last updated in NPPES | July 14, 2025 |
| Certification date | July 14, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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