Individual
RANDI BETH SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
301 40TH ST, LUBBOCK, TX 79404-2746
(806) 743-9355
(806) 743-9363
Mailing address
301 40TH ST, LUBBOCK, TX 79404-2746
(806) 743-9355
(806) 743-9363
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
741963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741963
LICENSE
TX
Enumeration date
02/08/2012
Last updated
02/08/2012
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