Provider Demographics
NPI:1437497310
Name:SCANDRICK, FELICIA (LPN)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:SCANDRICK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-1546
Mailing Address - Country:US
Mailing Address - Phone:717-793-3341
Mailing Address - Fax:
Practice Address - Street 1:42 N PINE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-1546
Practice Address - Country:US
Practice Address - Phone:717-793-3341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN281755164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse