Provider Demographics
NPI:1497080964
Name:WILLIAMS SCOULIOS, BERTHLYN M (CRNP)
Entity Type:Individual
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First Name:BERTHLYN
Middle Name:M
Last Name:WILLIAMS SCOULIOS
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:7676 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 220 A
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-7512
Mailing Address - Country:US
Mailing Address - Phone:301-431-2972
Mailing Address - Fax:301-439-0008
Practice Address - Street 1:7676 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 220 A
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7512
Practice Address - Country:US
Practice Address - Phone:301-431-2972
Practice Address - Fax:301-439-0008
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2016-09-28
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Provider Licenses
StateLicense IDTaxonomies
MDR138169363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics