Individual
SARAH SCAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
173 SAINT PATRICKS DR STE 201, WALDORF, MD 20603-5531
(301) 396-3401
Mailing address
5632 MILLS FIELD LN, PORT REPUBLIC, MD 20676-2055
(443) 975-6112
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R191143
MD
363LF0000X
Family Nurse Practitioner
R191143
MD
Other
Enumeration date
03/08/2019
Last updated
01/23/2024
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