Provider Demographics
NPI:1083608673
Name:SCEPURA, BARBARA ANN (MSN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:SCEPURA
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:PREWITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 64442
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4442
Mailing Address - Country:US
Mailing Address - Phone:410-328-5793
Mailing Address - Fax:410-328-0248
Practice Address - Street 1:NIMH BLDG 31 B2B37
Practice Address - Street 2:31 CENTER DRIVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-594-1089
Practice Address - Fax:301-594-1089
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR145197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD413207600Medicaid
MD645972-01OtherBC/BS
MDS062-0320OtherBC/BS REGIONAL
MD413207600Medicaid
MD019224M72Medicare PIN
MDQ48742Medicare UPIN
MD019224M72Medicare Oscar/Certification