Individual provider · Type 1 NPI
Amanda Skvortsov, APRN
Family Nurse Practitioner · Broken Arrow, OK
NPI number
1063238665
Active
Practice location
109 W Commercial St
Broken Arrow, OK 74012-4012
Mailing address
31193 E 64th St S
Broken Arrow, OK 74014-8529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 221063 (OK) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1063238665
Amanda Skvortsov, APRN's National Provider Identifier is 1063238665, issued on Nov 27, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Broken Arrow, OK. The record was last updated on Dec 2, 2024.