Provider Demographics
NPI:1457718363
Name:SKERIES, NATHAN (ARNP)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:SKERIES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 DOUGLAS AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-2760
Mailing Address - Country:US
Mailing Address - Phone:515-207-0258
Mailing Address - Fax:201-462-3903
Practice Address - Street 1:5005 DOUGLAS AVE STE 104
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-2760
Practice Address - Country:US
Practice Address - Phone:515-207-0258
Practice Address - Fax:201-462-3903
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-22
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA101119363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner