Healthcare Provider Details

I. General information

NPI: 1487717641
Provider Name (Legal Business Name): BARRETT ANN SKANDERA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MONUMENT RD STE 200
YORK PA
17403-5049
US

IV. Provider business mailing address

1803 MOUNT ROSE AVE SUITE B3
YORK PA
17403-3026
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-2441
  • Fax: 717-812-4867
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP008291
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: