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NPI Code Detail

MEDICARE: HEIDI A. SKAGGS APRN FNP-BC

MEDICARE:   HEIDI A. SKAGGS  APRN FNP-BC
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
1363L00000XNurse Practitioner62735WV
2163WS0200XSchool Registered Nurse62735WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538361621
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI A. SKAGGS APRN FNP-BC
Provider Business Mailing Address
First Line : PO BOX 337
Second Line :
City : SCARBRO
State : WV
Zip : 25917-0337
Country : US
Telephone Number : 304-469-2905
Fax Number : 304-469-2981
Provider Business Practice Location Address
First Line : 59 GREYHOUND LANE
Second Line :
City : SMITHERS
State : WV
Zip : 25186-0000
Country : US
Telephone Number : 304-981-4983
Fax Number : 304-981-4949
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 05/31/2024

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Directions to “ HEIDI A. SKAGGS APRN FNP-BC” Practice Location

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