Doctor Name: | STEPHEN J SKIMEHORN |
NPI Number: | 1326360355 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 71003181B |
Business Practice Address: | 101 Grant St Cayuga, IN - 47928 |
Business Phone Number: | 7654923316 |
Business Fax Number: | |
Mailing Address: | Po Box 266, CLINTON |
State: | IN |
Postal Code: | 478420266 |
Phone Number: | 7658329301 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2010 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71003181B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |