Basic Information
| Provider Information | |||||||||
| NPI: | 1730670878 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SKEDEL | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 321 MAIN ST STE 3D | ||||||||
| Address2: | |||||||||
| City: | JOHNSTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 159011632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8145357576 | ||||||||
| FaxNumber: | 8145361369 | ||||||||
| Practice Location | |||||||||
| Address1: | 241 SCHOOLHOUSE RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | JOHNSTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 159043239 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8142665650 | ||||||||
| FaxNumber: | 8142665653 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2018 | ||||||||
| LastUpdateDate: | 10/30/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | F05180603 | PA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | SP019100 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.