Individual
KRISTIAN CLARK-SKEENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2956
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
177085
WI
363L00000X
Nurse Practitioner
Primary
5854
WI
363L00000X
Nurse Practitioner
71012705A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285042754
—
WI
Enumeration date
07/29/2014
Last updated
08/20/2024
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