Provider Demographics
NPI:1093936262
Name:SKOBEL, STEVEN WAYNE (NP)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:WAYNE
Last Name:SKOBEL
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6005 FILBERT CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1609
Mailing Address - Country:US
Mailing Address - Phone:703-913-1975
Mailing Address - Fax:703-396-6190
Practice Address - Street 1:6565 ARLINGTON BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3013
Practice Address - Country:US
Practice Address - Phone:703-396-6194
Practice Address - Fax:703-396-6190
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024132060363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAS85641Medicare UPIN
VA003748C25Medicare ID - Type UnspecifiedID NUMBER