Provider Demographics
NPI:1003250705
Name:PERRY, SKYLER CHIFFON (LPN)
Entity Type:Individual
Prefix:MS
First Name:SKYLER
Middle Name:CHIFFON
Last Name:PERRY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 22ND ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-2319
Mailing Address - Country:US
Mailing Address - Phone:585-300-7527
Mailing Address - Fax:
Practice Address - Street 1:521 22ND ST APT 1
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-2319
Practice Address - Country:US
Practice Address - Phone:585-300-7527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY313797164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse