Provider Demographics
NPI:1578909834
Name:SKRINE, ADADREN LAVETTE (CNA)
Entity Type:Individual
Prefix:MS
First Name:ADADREN
Middle Name:LAVETTE
Last Name:SKRINE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5680 N ALLEN RD SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-2634
Mailing Address - Country:US
Mailing Address - Phone:404-734-2923
Mailing Address - Fax:
Practice Address - Street 1:5680 N ALLEN RD SE
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-2634
Practice Address - Country:US
Practice Address - Phone:404-734-2923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0028871533376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide