Healthcare Provider Details

I. General information

NPI: 1962201897
Provider Name (Legal Business Name): BRITTANY NICOLE SKOW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PLAZA BLVD APT 45
KEARNEY NE
68845-4813
US

IV. Provider business mailing address

50 PLAZA BLVD APT 45
KEARNEY NE
68845-4813
US

V. Phone/Fax

Practice location:
  • Phone: 402-303-0771
  • Fax:
Mailing address:
  • Phone: 402-303-0771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: