Provider Demographics
NPI:1770553844
Name:SKELTON, MILHA KATHRYN (RN, CRNFA)
Entity type:Individual
Prefix:
First Name:MILHA
Middle Name:KATHRYN
Last Name:SKELTON
Suffix:
Gender:F
Credentials:RN, CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7183
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75711-7183
Mailing Address - Country:US
Mailing Address - Phone:903-566-5500
Mailing Address - Fax:903-566-7755
Practice Address - Street 1:3627 RIVER OAKS CT
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75707-1659
Practice Address - Country:US
Practice Address - Phone:903-566-5500
Practice Address - Fax:903-566-7755
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218773163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice