Provider Demographics
NPI:1821568825
Name:SKOWRONSKA, MAGDALENA KINGA (MSN, APRN, FNP-C, CE)
Entity Type:Individual
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First Name:MAGDALENA
Middle Name:KINGA
Last Name:SKOWRONSKA
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Gender:F
Credentials:MSN, APRN, FNP-C, CE
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Mailing Address - Street 1:8 MIRROR LAKE DR
Mailing Address - Street 2:STE A
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-3102
Mailing Address - Country:US
Mailing Address - Phone:386-673-2500
Mailing Address - Fax:386-673-3204
Practice Address - Street 1:3045 COLUMBIA BLVD STE A108
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-7864
Practice Address - Country:US
Practice Address - Phone:321-264-9176
Practice Address - Fax:321-636-1731
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
FL11000302207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine