Healthcare Provider Details

I. General information

NPI: 1285160739
Provider Name (Legal Business Name): CYNTHIA SKELTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12623 W BRANDT PL
LITTLETON CO
80127-4550
US

IV. Provider business mailing address

4875 WARD RD
WHEAT RIDGE CO
80033-1942
US

V. Phone/Fax

Practice location:
  • Phone: 303-229-9490
  • Fax:
Mailing address:
  • Phone: 303-463-5785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number0094338
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: