Individual
DARLENE G VENEZIA SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,NP-C
Contact information
Practice address
1001 E. MAIN SREET, BRADFORD, PA 16701-1036
(814) 368-1000
(814) 368-1008
Mailing address
1001 E MAIN ST, BRADFORD, PA 16701-3267
(814) 368-1000
(814) 368-1008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
338303
NY
363L00000X
Nurse Practitioner
Primary
SP011771
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102678643
—
PA
01
—
SP011771
NP LICENSE
PA
Enumeration date
11/11/2011
Last updated
03/05/2025
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