Skelley, Mariah

Skelley, Mariah is an individual health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Skelley, Mariah can be contacted via phone (319) 376-1130.

Contact Information

Primary practice address
5409 Avenue O Fort Madison IA 52627
Phone: (319) 376-1130
Fax: (319) 376-1131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 393933 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 021236 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G151076 Iowa

Profile Details

NPI number 1629506829
LBN Legal business name Skelley, Mariah
Credentials APRN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2017
Last updated May 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629506829 NPPES
Ohio Other 393833 LICENSE
Ohio Other APRN.CNP.021236 LICENSE

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