Provider Demographics
NPI:1902255748
Name:SKALSKI, KRISTINA KARIN (NP-C)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:KARIN
Last Name:SKALSKI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4323
Mailing Address - Fax:970-490-4155
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE STE 350
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-829-5535
Practice Address - Fax:970-624-1892
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131095363LF0000X
NC5015788363LF0000X
COC-APN.0101422-C-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily