Individual provider · Type 1 NPI

Scott Thomas Vadeboncoeur, NP

Nurse Practitioner · Rancho Mirage, CA

NPI number 1184425571 Active

Practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Fax (760) 773-1467

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95034397 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184425571

Scott Thomas Vadeboncoeur, NP's National Provider Identifier is 1184425571, issued on Mar 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Aug 7, 2025.