Provider Demographics
NPI:1144981358
Name:ALLISON SKREZEC NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:ALLISON SKREZEC NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:SKREZEC
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:479-343-9916
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AR
Mailing Address - Zip Code:72949-0170
Mailing Address - Country:US
Mailing Address - Phone:866-243-7203
Mailing Address - Fax:866-217-9330
Practice Address - Street 1:54075 MAIN RD
Practice Address - Street 2:
Practice Address - City:SOUTHHOLD
Practice Address - State:NY
Practice Address - Zip Code:11971
Practice Address - Country:US
Practice Address - Phone:631-765-8746
Practice Address - Fax:631-765-8747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty