Basic Information
| Provider Information | |||||||||
| NPI: | 1528185717 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCARCELLA | ||||||||
| FirstName: | WENDY | ||||||||
| MiddleName: | WILLIAMS | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CPNP CERTIFIED PEDIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7300 YORK ROAD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108256420 | ||||||||
| FaxNumber: | 4108255819 | ||||||||
| Practice Location | |||||||||
| Address1: | 7300 YORK ROAD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108256420 | ||||||||
| FaxNumber: | 4108255819 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2007 | ||||||||
| LastUpdateDate: | 04/28/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | R093829 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.