Healthcare Provider Details

I. General information

NPI: 1821517293
Provider Name (Legal Business Name): DANIEL LEE SKIEF MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2017
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15740 S OUTER 40 RD
CHESTERFIELD MO
63017-2004
US

IV. Provider business mailing address

15740 S OUTER 40 RD
CHESTERFIELD MO
63017-2004
US

V. Phone/Fax

Practice location:
  • Phone: 636-735-4755
  • Fax:
Mailing address:
  • Phone: 636-735-4755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017032210
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: