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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SCOTT RUSSELL MCGILLIVRAY, DNP, FNP-BC

Active Sole Proprietor

DR. SCOTT RUSSELL MCGILLIVRAY, DNP, FNP-BC is a Family Nurse Practitioner healthcare provider located in CENTER LINE, Michigan. NPI 1720786130 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · CENTER LINE, MI

Registration Details

NPI Number
1720786130
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2023 (3.4579008706569 yrs)
Last Updated
Feb 16, 2023
License
4704307034 (MI)
Sole Proprietor
Yes

Practice Information

Address
8569 GEORGE
CENTER LINE, MI, 480151733
Browse MI providers · Browse ZIP 48015
Phone
5862465041
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.