Doctor Name: | MS. JULIE L SKYMBA |
NPI Number: | 1619017415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP005314H |
Business Practice Address: | 8601 Stenton Ave Wyndmoor, PA - 190388312 |
Business Phone Number: | 2152336226 |
Business Fax Number: | 2152336380 |
Mailing Address: | 1243 W King Rd, FRAZER |
State: | PA |
Postal Code: | 193551987 |
Phone Number: | 6106474127 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | SP005314H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |