Healthcare Provider Details

I. General information

NPI: 1568185734
Provider Name (Legal Business Name): CARA SCATENA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 TROY DR
WILMINGTON NC
28401-7643
US

IV. Provider business mailing address

615 SHIPYARD BLVD
WILMINGTON NC
28412-6431
US

V. Phone/Fax

Practice location:
  • Phone: 910-444-7086
  • Fax:
Mailing address:
  • Phone: 910-343-0145
  • Fax: 910-790-9455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-12601
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: