Individual provider · Type 1 NPI
Serita Scullark
Nurse Practitioner · Chappaqua, NY
Practice location
480 Bedford Rd
Chappaqua, NY 10514-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 312094 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1437958089
Serita Scullark's National Provider Identifier is 1437958089, issued on Mar 7, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chappaqua, NY. The record was last updated on Jun 17, 2025.