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NPI Code Detail

MEDICARE: AMANDA NICHOLE SKROCH

MEDICARE: AMANDA NICHOLE SKROCH
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCO

General Provider Information

NPI Number : 1275467169
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA NICHOLE SKROCH
Provider Business Mailing Address
First Line : 1300 N 17TH AVE
Second Line :
City : GREELEY
State : CO
Zip : 80631-9584
Country : US
Telephone Number : 970-347-2120
Fax Number :
Provider Business Practice Location Address
First Line : 1300 N 17TH AVE
Second Line :
City : GREELEY
State : CO
Zip : 80631-9584
Country : US
Telephone Number : 970-347-2120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

Similar Medicare Providers

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1649330549 — SARAH POLZIN MA,LPC
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Directions to “ AMANDA NICHOLE SKROCH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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