Individual
MS. MARGIE JO SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9900 BREN RD E, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-9664
(614) 795-4223
Mailing address
2614 COUNTY ROAD 255, FORT PAYNE, AL 35967-6932
(614) 795-4223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP08650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3028100
—
OH
Enumeration date
09/20/2006
Last updated
06/23/2020
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