Provider Demographics
NPI:1528631975
Name:SKOCYPIEC, BRYTNE ELIZABETH
Entity type:Individual
Prefix:
First Name:BRYTNE
Middle Name:ELIZABETH
Last Name:SKOCYPIEC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 FORESTGLEN DR APT E
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-6693
Mailing Address - Country:US
Mailing Address - Phone:602-999-8824
Mailing Address - Fax:
Practice Address - Street 1:1188 FORESTGLEN DR APT E
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6693
Practice Address - Country:US
Practice Address - Phone:602-999-8824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747A0650X
MT21-000687303747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider