Healthcare Provider Details

I. General information

NPI: 1245159235
Provider Name (Legal Business Name): JULIA MARIE SKELLIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 OCEAN SHORE AVE
VIRGINIA BEACH VA
23451-1453
US

IV. Provider business mailing address

2720 OCEAN SHORE AVE
VIRGINIA BEACH VA
23451-1453
US

V. Phone/Fax

Practice location:
  • Phone: 864-510-1066
  • Fax:
Mailing address:
  • Phone: 864-510-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number267934
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024198528
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001349502
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: