Provider Demographics
NPI:1184243503
Name:SCARBORO, HEATHER (CRNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:SCARBORO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6410
Mailing Address - Country:US
Mailing Address - Phone:610-804-2301
Mailing Address - Fax:
Practice Address - Street 1:760 NEWTOWN YARDLEY RD STE 122
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4500
Practice Address - Country:US
Practice Address - Phone:215-375-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN604326363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health