Provider Demographics
NPI:1558383653
Name:SKAAR, DANIELLE DON (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:DON
Last Name:SKAAR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:DON
Other - Last Name:ERICKSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:210 HIGHWAY 2 W STE 10
Mailing Address - Street 2:
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-2913
Mailing Address - Country:US
Mailing Address - Phone:701-662-1046
Mailing Address - Fax:866-528-9548
Practice Address - Street 1:210 HIGHWAY 2 W STE 10
Practice Address - Street 2:
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-2913
Practice Address - Country:US
Practice Address - Phone:701-662-1046
Practice Address - Fax:866-528-9548
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR28826363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND19868Medicaid
NDF0605035OtherAMER. ACAD. OF NURSE PRAC
NDF0605035OtherAMER. ACAD. OF NURSE PRAC