Provider Demographics
NPI:1871577932
Name:SCALES, CHARLOTTE (NP)
Entity type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:
Last Name:SCALES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3155
Mailing Address - Country:US
Mailing Address - Phone:781-762-5858
Mailing Address - Fax:781-949-4343
Practice Address - Street 1:95 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3155
Practice Address - Country:US
Practice Address - Phone:781-762-5858
Practice Address - Fax:781-949-4343
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MANP106666363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NP2295OtherBC/BS
NP2295Medicare ID - Type Unspecified
NP2295OtherBC/BS