Healthcare Provider Details

I. General information

NPI: 1043811540
Provider Name (Legal Business Name): SKYE RENEE WORK MSN, APRN-CNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 W BROAD ST
COLUMBUS OH
43222-1319
US

IV. Provider business mailing address

1206 W BROAD ST
COLUMBUS OH
43222-1319
US

V. Phone/Fax

Practice location:
  • Phone: 614-869-0054
  • Fax:
Mailing address:
  • Phone: 614-309-1790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberLE-00039891
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number380395
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0030585
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: