Provider Demographics
NPI:1558511790
Name:SKAKEL, CHRISTINE ELIZABETH (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:SKAKEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:ELIZABETH
Other - Last Name:SKAKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:45 WESTWOOD DR
Mailing Address - Street 2:APT84
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1610
Mailing Address - Country:US
Mailing Address - Phone:516-833-6063
Mailing Address - Fax:
Practice Address - Street 1:45 WESTWOOD DR
Practice Address - Street 2:APT84
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-1610
Practice Address - Country:US
Practice Address - Phone:516-833-6063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288308164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse