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NPI Code Detail

MEDICARE: MRS. CARLA D SKAGGS LPN

MEDICARE: MRS. CARLA D SKAGGS LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN 103232OH

General Provider Information

NPI Number : 1003930892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARLA D SKAGGS LPN
Provider Business Mailing Address
First Line : 293 COUNTY ROAD 182
Second Line :
City : KITTS HILL
State : OH
Zip : 45645-8741
Country : US
Telephone Number : 740-442-5145
Fax Number :
Provider Business Practice Location Address
First Line : 293 COUNTY ROAD 182
Second Line :
City : KITTS HILL
State : OH
Zip : 45645-8741
Country : US
Telephone Number : 740-237-4484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2007
Last Update Date : 04/04/2016

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Directions to “ MRS. CARLA D SKAGGS LPN” Practice Location

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