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NPI Code Detail

MEDICARE: MS. JULIE L SKYMBA CRNP

MEDICARE: MS. JULIE L SKYMBA CRNP
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
1363LG0600XGerontology Nurse PractitionerSP005314HPA

General Provider Information

NPI Number : 1619017415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE L SKYMBA CRNP
Provider Business Mailing Address
First Line : 1243 W KING RD
Second Line :
City : FRAZER
State : PA
Zip : 19355-1987
Country : US
Telephone Number : 610-647-4127
Fax Number :
Provider Business Practice Location Address
First Line : 8601 STENTON AVE
Second Line :
City : WYNDMOOR
State : PA
Zip : 19038-8312
Country : US
Telephone Number : 215-233-6226
Fax Number : 215-233-6380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 02/09/2016

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