Individual
CASANDRA ANNE SCULLY
Active
Individual
CASANDRA ANNE SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP013497
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029801100004
—
PA
05
—
1029801100005
—
PA
05
—
1029801100006
—
PA
05
—
1029801100012
—
PA
05
—
1029801100014
—
PA
05
—
1029801100015
—
PA
05
—
1029801100016
—
PA
05
—
1029801100017
—
PA
Enumeration date
02/05/2013
Last updated
10/03/2024
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