# MRS. ALTA M. SKELTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457456659
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 28119508A | IN | — |
| 207Q00000X | Family Medicine Physician | 71001461 | IN | — |
| 363L00000X | Nurse Practitioner | 71001461A | IN | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 07/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000298150 | ANTHEM PROVIDER NUMBER | IN |
| 01 | — | 366735000 | US DEPT. OF LABOR | IN |