Doctor Name: | AMY SKELDON |
NPI Number: | 1104282250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 702478-1 |
Business Practice Address: | 56 Market St Potsdam, NY - 136761747 |
Business Phone Number: | 3152654065 |
Business Fax Number: | 3152650012 |
Mailing Address: | 56 Market St, POTSDAM |
State: | NY |
Postal Code: | 136761747 |
Phone Number: | 3152654065 |
Fax Number: | 3152650012 |
NPI Enumeration Date: | 01/05/2016 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 702478-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |