MEDICARE: KAYLA SCRANDIS

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	363L00000X	Nurse Practitioner	R231666	MD

General Provider Information

NPI Number	:	1619753563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA SCRANDIS

Provider Business Mailing Address
First Line	:	8840 STANFORD BLVD STE 1600
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5909
Country	:	US
Telephone Number	:	240-512-0141
Fax Number	:

Provider Business Practice Location Address
First Line	:	8840 STANFORD BLVD STE 1600
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5909
Country	:	US
Telephone Number	:	240-512-0141
Fax Number	:

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

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	02/16/2026

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Directions to “ KAYLA SCRANDIS ” Practice Location

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