MEDICARE: MS. BARBARA ANN SCEPURA MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R145197	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	645972-01	OTHER	MD	BC/BS
3	S062-0320	OTHER	MD	BC/BS REGIONAL

General Provider Information

NPI Number	:	1083608673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA ANN SCEPURA MSN

Provider Business Mailing Address
First Line	:	PO BOX 64442
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4442
Country	:	US
Telephone Number	:	410-328-5793
Fax Number	:	410-328-0248

Provider Business Practice Location Address
First Line	:	NIMH BLDG 31 B2B37
Second Line	:	31 CENTER DRIVE
City	:	BETHESDA
State	:	MD
Zip	:	20892-0001
Country	:	US
Telephone Number	:	301-594-1089
Fax Number	:	301-594-1089

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	09/08/2009

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