Individual
LAURIE SCUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NP
Contact information
Practice address
2000 EDGEWOOD ST, WALBROOK HIGH SCHOOL BASED HEALTH CENTER, BALTIMORE, MD 21216-2537
(410) 396-0737
Mailing address
9556 WANDERING WAY, COLUMBIA, MD 21045-3244
(410) 992-7129
(410) 992-7216
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R073557
MD
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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