Provider Demographics
NPI:1063807295
Name:SCARIA, MEBI (FNP)
Entity type:Individual
Prefix:MS
First Name:MEBI
Middle Name:
Last Name:SCARIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9828 TWEEDY LN
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3824
Mailing Address - Country:US
Mailing Address - Phone:630-364-1646
Mailing Address - Fax:
Practice Address - Street 1:9828 TWEEDY LN
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3824
Practice Address - Country:US
Practice Address - Phone:630-364-1646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002260363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily