Healthcare Provider Details

I. General information

NPI: 1669510608
Provider Name (Legal Business Name): ROBIN LYNN SKOSKO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 10/04/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 GEORGETOWN RD SUITE 201
CHRISTIANA PA
17509-9543
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-806-3800
  • Fax: 717-806-3799
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTP006713B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: