Scott Michael Pethan, MS, BSN, RN

Clinical Exercise Physiologist · Oshkosh, WI

Individual Active NPI

NPI number 1598039943

Practice location

2700 W 9TH Ave
Suite 107
Oshkosh, WI 54904-7247
Phone
(920) 236-1835
Fax
(920) 223-1182

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NPI record

NPI
1598039943
Entity type
Individual (Type 1)
Enumeration date
March 2, 2012
Last updated
March 2, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Exercise Physiologist Primary 224Y00000X 136064-30 WI

About Scott Pethan

Scott Michael Pethan, MS, BSN, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Exercise Physiologist (code 224Y00000X). The practice location is 2700 W 9TH Ave, Suite 107, Oshkosh, WI 54904-7247. The NPI number 1598039943 was assigned on March 2, 2012 and the record was last updated on March 2, 2012.

Scott Pethan lists a license in the registry: #136064-30 (WI) for Clinical Exercise Physiologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Michael Pethan, MS, BSN, RN?

The NPI number is 1598039943.

What is the phone number of Scott Pethan?

The phone number listed for the practice location is (920) 236-1835.

Where is Scott Pethan located?

2700 W 9TH Ave, Suite 107, Oshkosh, WI 54904-7247.

What is the taxonomy code for Scott Pethan?

The primary taxonomy code is 224Y00000X – Clinical Exercise Physiologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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