Individual
SKYLER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
669 S MCKENZIE ST, FOLEY, AL 36535
(251) 625-6896
Mailing address
29653 ANCHOR CROSS BLVD, DAPHNE, AL 36526-9594
(251) 625-6896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-135882
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I505152
MEDICARE PTAN
AL
05
—
183362
—
AL
05
—
189374
—
AL
05
—
224337
—
AL
01
—
P02566945
RAILROAD MEDICARE
AL
Enumeration date
06/04/2015
Last updated
02/23/2022
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