MEDICARE: MEGAN SKEET DNP, CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	C-APN.0106123-C-NP	CO
2	363LP0200X	Pediatric Nurse Practitioner	242341	AZ

General Provider Information

NPI Number	:	1558937219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN SKEET DNP, CPNP-PC

Provider Business Mailing Address
First Line	:	205 S ELDEN ST APT 5
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-5834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4041 E SAN MIGUEL ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-3537
Country	:	US
Telephone Number	:	719-632-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	03/18/2026

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