Individual
EMILY SKAVNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
Mailing address
375 APPLE TREE DR, IONIA, MI 48846-7506
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
4704299361
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704299361
MI
Other
Enumeration date
01/19/2024
Last updated
01/13/2025
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