Individual provider · Type 1 NPI
Skylar Brooke Wimberly
Medical Physician Assistant · Elkland, MO
NPI number
1477313567
Active
Practice location
25 Country Ridge Ln
Elkland, MO 65644-7304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 11441 (AZ) |
Medical Physician Assistant: Definition to come...
About NPI 1477313567
Skylar Brooke Wimberly's National Provider Identifier is 1477313567, issued on Mar 19, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Elkland, MO. The record was last updated on Jun 3, 2026.