Healthcare Provider Details

I. General information

NPI: 1598394066
Provider Name (Legal Business Name): HANNAH ELIZABETH SKILLMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 05/28/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USS PEARL HARBOR LSD 52 UNIT 100183
FPO AP
96667
US

IV. Provider business mailing address

USS PEARL HARBOR LSD 52
FPO AP
96667-1740
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-4357
  • Fax:
Mailing address:
  • Phone: 619-556-3879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101274282
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: