Provider Demographics
NPI:1467949446
Name:SKOWRONSKI, BIANCA MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:BIANCA
Middle Name:MARIE
Last Name:SKOWRONSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4978 CRYSTAL CREEK LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-4215
Mailing Address - Country:US
Mailing Address - Phone:586-786-9595
Mailing Address - Fax:586-786-9595
Practice Address - Street 1:4978 CRYSTAL CREEK LN
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48094-4215
Practice Address - Country:US
Practice Address - Phone:586-854-8297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily