Individual provider · Type 1 NPI

Andrea Nicole Skidmore, LPN

Licensed Practical Nurse · Newark, OH

NPI number 1174146757 Active

Practice location

1060 Stewart St
Newark, OH 43055-6030

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.154288.MEDS-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1174146757

Andrea Nicole Skidmore, LPN's National Provider Identifier is 1174146757, issued on May 18, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Newark, OH. The record was last updated on May 11, 2026.