MEDICARE: MS. MARILYN LOUISE SKIPPER RN , MN, ARNP,CNM

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
1	163WP1700X	Perinatal Registered Nurse	RN00075280	WA
2	163WP2201X	Ambulatory Care Registered Nurse	AP30004286	WA

General Provider Information

NPI Number	:	1104888064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARILYN LOUISE SKIPPER RN , MN, ARNP,CNM

Provider Business Mailing Address
First Line	:	707 W FLORENTIA PL
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98119-1849
Country	:	US
Telephone Number	:	206-283-5277
Fax Number	:

Provider Business Practice Location Address
First Line	:	1229 MADISON ST
Second Line	:	SUITE # 750
City	:	SEATTLE
State	:	WA
Zip	:	98104-3586
Country	:	US
Telephone Number	:	206-386-2101
Fax Number	:	206-386-2555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	09/11/2025

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