Individual
DR. DIANE VAIL SKOJEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N WOLFE ST, BLALOCK 117, BALTIMORE, MD 21287-0005
(410) 614-3302
(410) 614-9983
Mailing address
9709 DEEP SMOKE, COLUMBIA, MD 21046-2807
(410) 614-3302
(410) 614-9983
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R079301
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402640300
—
MD
Enumeration date
07/01/2006
Last updated
12/15/2010
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