Provider Demographics
NPI:1417638859
Name:SHOUDY, SCARLET MADISON (ARNP, PNPAC)
Entity type:Individual
Prefix:
First Name:SCARLET
Middle Name:MADISON
Last Name:SHOUDY
Suffix:
Gender:F
Credentials:ARNP, PNPAC
Other - Prefix:
Other - First Name:SCARLET
Other - Middle Name:MADISON
Other - Last Name:INCHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15008 40TH AVE W UNIT B1
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-6499
Mailing Address - Country:US
Mailing Address - Phone:360-320-4964
Mailing Address - Fax:
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61632511363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics