Provider Demographics
NPI:1134561798
Name:SKENDZEL, SASHA MORGAN (ACNP)
Entity type:Individual
Prefix:MRS
First Name:SASHA
Middle Name:MORGAN
Last Name:SKENDZEL
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:MS
Other - First Name:SASHA
Other - Middle Name:MORGAN
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP
Mailing Address - Street 1:516 DELAWARE ST SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0356
Mailing Address - Country:US
Mailing Address - Phone:612-626-2663
Mailing Address - Fax:612-626-2664
Practice Address - Street 1:516 DELAWARE ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:612-626-2663
Practice Address - Fax:612-626-2664
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN213257-8363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care