Healthcare Provider Details
I. General information
NPI: 1831280577
Provider Name (Legal Business Name): RHONDA SCHARF CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5601 LOCH RAVEN BLVD # 406
BALTIMORE MD
21239-2905
US
IV. Provider business mailing address
1905 BILLY BARTON CIR
REISTERSTOWN MD
21136-5702
US
V. Phone/Fax
- Phone: 410-532-4540
- Fax: 410-323-6958
- Phone: 410-560-2141
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Registered Nurse |
| License Number | R048726 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: