Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP61173572 | WA |
NPI | 1003489261 |
---|---|
Provider Name | Britney Jean Skillman |
First Address | Yakima, WA 98908-4131 |
Second Address | Selah, WA 98942-1050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2021 |
Last Update Date | 23/07/2021 |