Individual provider · Type 1 NPI

Tashanna Dominique Kutora Scott

Licensed Practical Nurse · Stony Brook, NY

NPI number 1629662440 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-1402

Call (631) 689-8333 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X340031 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1629662440

Tashanna Dominique Kutora Scott's National Provider Identifier is 1629662440, issued on Feb 22, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 24, 2023.