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Individual
MRS. ALTA M. SKELTON
Active
Individual
MRS. ALTA M. SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28119508A
IN
207Q00000X
Family Medicine Physician
71001461
IN
363L00000X
Nurse Practitioner
Primary
71001461A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000298150
ANTHEM PROVIDER NUMBER
IN
01
—
366735000
US DEPT. OF LABOR
IN
Enumeration date
09/13/2006
Last updated
07/26/2023
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