Provider Demographics
NPI:1629830518
Name:SKUROW-TODD, KAMI BROOKE (DNP, CPNP-AC)
Entity Type:Individual
Prefix:
First Name:KAMI
Middle Name:BROOKE
Last Name:SKUROW-TODD
Suffix:
Gender:F
Credentials:DNP, CPNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 OAK STUMP DR
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1849
Mailing Address - Country:US
Mailing Address - Phone:443-790-0912
Mailing Address - Fax:
Practice Address - Street 1:778 OAK STUMP DR
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1849
Practice Address - Country:US
Practice Address - Phone:443-790-0912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR169463363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care