Provider Demographics
NPI:1467136911
Name:SKRITAKIS, SOULTANA-KONSTANTINA (PA-C)
Entity Type:Individual
Prefix:
First Name:SOULTANA-KONSTANTINA
Middle Name:
Last Name:SKRITAKIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 TURTLE CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-8306
Mailing Address - Country:US
Mailing Address - Phone:508-847-3897
Mailing Address - Fax:
Practice Address - Street 1:9 TURTLE CREEK CIR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-8306
Practice Address - Country:US
Practice Address - Phone:508-847-3897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant