Provider Demographics
NPI:1528185717
Name:SCARCELLA, WENDY WILLIAMS (CPNP CERTIFIED PEDIA)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:WILLIAMS
Last Name:SCARCELLA
Suffix:
Gender:F
Credentials:CPNP CERTIFIED PEDIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:7300 YORK ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-825-6420
Mailing Address - Fax:410-825-5819
Practice Address - Street 1:7300 YORK ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-825-6420
Practice Address - Fax:410-825-5819
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR093829363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics