Provider Demographics
NPI:1669924825
Name:SKAALEN, AMY (RN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SKAALEN
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 1:8414 E BELGIAN TRL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1464
Mailing Address - Country:US
Mailing Address - Phone:480-941-0882
Mailing Address - Fax:
Practice Address - Street 1:13636 N 100TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-9050
Practice Address - Country:US
Practice Address - Phone:480-484-5611
Practice Address - Fax:480-484-5601
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN179647163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool