Provider Demographics
NPI:1639780166
Name:DOBBS, SKYLAR MARIE (RN)
Entity Type:Individual
Prefix:MISS
First Name:SKYLAR
Middle Name:MARIE
Last Name:DOBBS
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 1:1827 AUTUMNDALE DR
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7329
Mailing Address - Country:US
Mailing Address - Phone:817-800-2582
Mailing Address - Fax:
Practice Address - Street 1:1827 AUTUMNDALE DR
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7329
Practice Address - Country:US
Practice Address - Phone:817-800-2582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1008515163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse