Provider Demographics
NPI:1740395714
Name:SCARINZI, GINA D (MS,CRNP)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:D
Last Name:SCARINZI
Suffix:
Gender:F
Credentials:MS,CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:205 TAPLOW RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3415
Mailing Address - Country:US
Mailing Address - Phone:443-928-4892
Mailing Address - Fax:410-532-9140
Practice Address - Street 1:700 W 40TH STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211
Practice Address - Country:US
Practice Address - Phone:410-662-4306
Practice Address - Fax:410-662-4299
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR057206363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD136829ZBLKMedicare PIN