Individual
CASIE SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1305 AIRPORT FWY STE 103, BEDFORD, TX 76021-6603
(469) 320-1267
Mailing address
PO BOX 29650, PHOENIX, AZ 85038-9650
(480) 616-0016
(480) 626-1746
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP141477
TX
363LA2200X
Adult Health Nurse Practitioner
AP141477
TX
363LG0600X
Gerontology Nurse Practitioner
AP141477
TX
Other
Enumeration date
05/15/2019
Last updated
08/28/2020
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