Healthcare Provider Details

I. General information

NPI: 1952643116
Provider Name (Legal Business Name): MEGAN DAVIS SCHOLLENBERGER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N BROADWAY ST
BALTIMORE MD
21287-0031
US

IV. Provider business mailing address

201 N BROADWAY ST
BALTIMORE MD
21287-0031
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-8893
  • Fax: 410-367-2194
Mailing address:
  • Phone: 410-955-8893
  • Fax: 410-367-2194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR178569
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: