Provider Demographics
NPI:1992736540
Name:SCORAH, CECILIA (RN)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:SCORAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7910 WOODMONT AVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3002
Mailing Address - Country:US
Mailing Address - Phone:301-656-9520
Mailing Address - Fax:301-934-9321
Practice Address - Street 1:7910 WOODMONT AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3002
Practice Address - Country:US
Practice Address - Phone:301-656-9520
Practice Address - Fax:301-934-9321
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR154250163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCM577OtherBLUE CROSS
MD594639OtherMAMSI/UNITED HEALTHCARE
DCG01893Medicare UPIN
MDG01893Medicare PIN
MDG01893C01Medicare PIN