Provider Demographics
NPI:1841789351
Name:SKIPPER, PARRIS ANTONETTE (LPN)
Entity Type:Individual
Prefix:
First Name:PARRIS
Middle Name:ANTONETTE
Last Name:SKIPPER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 TRAVERS CIRCLE
Mailing Address - Street 2:APPT D
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228
Mailing Address - Country:US
Mailing Address - Phone:716-390-1740
Mailing Address - Fax:
Practice Address - Street 1:251 TRAVERS CIRCLE
Practice Address - Street 2:APPT D
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228
Practice Address - Country:US
Practice Address - Phone:716-390-1740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331152164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse