Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SP004137D | PA |
Y | 363LN0000X | Nurse Practitioner - Neonatal | SP004137D | PA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP004137D | PA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | SP004137D | PA |
NPI | 1285719369 |
---|---|
Provider Name | Ms. Eileen T. Skiffington |
First Address | Rockland, DE 19732-0191 |
Second Address | Philadelphia, PA 19107-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 18/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007978 | (05) | NJ |
4029551 | (05) | MD |
4029551-00 | (05) | MD |
Q11482 | (02) |