Provider Demographics
NPI:1821635475
Name:ALTIERI, SKYE D (FNP-C)
Entity Type:Individual
Prefix:
First Name:SKYE
Middle Name:D
Last Name:ALTIERI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2371 CROCKETT DR
Mailing Address - Street 2:STE 102
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5994
Mailing Address - Country:US
Mailing Address - Phone:325-341-1140
Mailing Address - Fax:325-641-5039
Practice Address - Street 1:2371 CROCKETT DR STE 102
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5994
Practice Address - Country:US
Practice Address - Phone:325-641-1140
Practice Address - Fax:325-641-5039
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX867398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily