Individual
AMY JO SKORDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1210 SW 136TH STREET, BURIEN, WA 98166
(206) 257-6600
(206) 257-6820
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166
(206) 257-6600
(206) 257-6830
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60503166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041895
—
WA
Enumeration date
06/11/2012
Last updated
12/30/2016
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