Individual
TESSA CAITLIN SKOTNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
320 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-7441
(406) 257-0304
Mailing address
320 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-7441
(406) 257-0304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
574
WV
363AM0700X
Medical Physician Assistant
Primary
57605
MT
363AM0700X
Medical Physician Assistant
PA2013-0093
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75658071
—
NM
Enumeration date
07/11/2012
Last updated
11/27/2023
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