Provider Demographics
NPI:1245883925
Name:SKERSKI, MONICA CRISTINA (APRN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:CRISTINA
Last Name:SKERSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1078 N STEP ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-8923
Mailing Address - Country:US
Mailing Address - Phone:941-258-1361
Mailing Address - Fax:
Practice Address - Street 1:9160 FORUM CORPORATE PKWY
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-7805
Practice Address - Country:US
Practice Address - Phone:941-258-1361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11003373363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105323600Medicaid
FLNJOBIOtherBCBS