Provider Demographics
NPI:1740845643
Name:SCOTT, DANIELLE (MSN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 N CHARLES ST STE 2425
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-3765
Mailing Address - Country:US
Mailing Address - Phone:443-396-2419
Mailing Address - Fax:443-347-2464
Practice Address - Street 1:1 N CHARLES ST STE 2425
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-3765
Practice Address - Country:US
Practice Address - Phone:443-396-2419
Practice Address - Fax:443-347-2464
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-06
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN207885363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health