Individual
AARON B. SKIDMORE
Active
Individual
AARON B. SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN76624
NV
367500000X
Certified Registered Nurse Anesthetist
0001232292
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
5394164-4406
UT
367500000X
Certified Registered Nurse Anesthetist
CRNA000428
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922387174
—
NV
01
—
P01511079
RAILROAD MEDICARE
NV
Enumeration date
08/05/2011
Last updated
11/12/2021
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