Healthcare Provider Details

I. General information

NPI: 1376462309
Provider Name (Legal Business Name): BRITTANY SKELLY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CROOK ST
MEDWAY MA
02053-1321
US

IV. Provider business mailing address

15 CROOK ST
MEDWAY MA
02053-1321
US

V. Phone/Fax

Practice location:
  • Phone: 508-298-8855
  • Fax:
Mailing address:
  • Phone: 508-298-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2323015
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: