Individual
FAUNTILY SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19550 W INDIAN SCHOOL RD STE 102, BUCKEYE, AZ 85396-2078
(480) 677-8282
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2616
(623) 214-2200
(623) 214-2208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
239740
AZ
363LF0000X
Family Nurse Practitioner
Primary
239740
AZ
Other
Enumeration date
02/24/2020
Last updated
03/28/2023
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