Scott Nicholson

NPI 1821537390 · on the registry since 2017

Practice

Address: 1300 S Milton Rd
#206
Flagstaff, AZ 86001
Phone: (928) 774-8407
Organisation at this address: Starlight Hospice Inc
Hospice Of Flagstaff Inc
Carter Rehabilitation Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225700000X
225700000X
Also registered as: 2255A2300X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona