Provider Demographics
NPI:1013694215
Name:SKIBICKI, KAYLA I (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:I
Last Name:SKIBICKI
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 1:254 MOUTAIN AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840
Mailing Address - Country:US
Mailing Address - Phone:973-396-7574
Mailing Address - Fax:908-760-8945
Practice Address - Street 1:254 MOUTAIN AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840
Practice Address - Country:US
Practice Address - Phone:908-798-6996
Practice Address - Fax:908-760-8945
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR21133000163WI0500X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WH0200XNursing Service ProvidersRegistered NurseHome Health