Provider Demographics
NPI:1538884788
Name:SKINNER, CHERYL MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:MARIE
Last Name:SKINNER
Suffix:
Gender:F
Credentials:FNP-C
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 364
Mailing Address - Street 2:
Mailing Address - City:BOYCE
Mailing Address - State:VA
Mailing Address - Zip Code:22620-0364
Mailing Address - Country:US
Mailing Address - Phone:703-786-5614
Mailing Address - Fax:
Practice Address - Street 1:3038 VALLEY AVE STE A
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2637
Practice Address - Country:US
Practice Address - Phone:540-508-0651
Practice Address - Fax:540-508-0841
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184201363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner