Provider Demographics
NPI:1548048937
Name:SCOTT, STANISHA CURTERAH
Entity type:Individual
Prefix:
First Name:STANISHA
Middle Name:CURTERAH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 HOLLYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-4103
Mailing Address - Country:US
Mailing Address - Phone:973-380-7101
Mailing Address - Fax:
Practice Address - Street 1:155 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-4103
Practice Address - Country:US
Practice Address - Phone:973-380-7101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion