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NPI Code Detail

MEDICARE: LAURA SKIBA NP

MEDICARE: LAURA SKIBA NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner229949AZ

General Provider Information

NPI Number : 1518716794
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA SKIBA NP
Provider Business Mailing Address
First Line : 20950 N TATUM BLVD STE 380
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4258
Country : US
Telephone Number : 480-626-7584
Fax Number :
Provider Business Practice Location Address
First Line : 20950 N TATUM BLVD STE 380
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4258
Country : US
Telephone Number : 480-626-7584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2024
Last Update Date : 02/04/2026

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Directions to “ LAURA SKIBA NP” Practice Location

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