Individual
MR. MARK BRADLEY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
824 BOWTOWN RD, DELAWARE, OH 43015-9661
(740) 369-7688
(740) 363-4814
Mailing address
824 BOWTOWN RD, DELAWARE, OH 43015-9661
(740) 369-7688
(740) 363-4814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I10219
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.15326.NP
OH
Other
Enumeration date
10/04/2006
Last updated
11/15/2013
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