Provider Demographics
NPI:1861896102
Name:SKILBRED, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SKILBRED
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 1:752 STILLWATER RD
Mailing Address - Street 2:
Mailing Address - City:MAHTOMEDI
Mailing Address - State:MN
Mailing Address - Zip Code:55115-2060
Mailing Address - Country:US
Mailing Address - Phone:651-243-2484
Mailing Address - Fax:651-925-0045
Practice Address - Street 1:752 STILLWATER RD
Practice Address - Street 2:
Practice Address - City:MAHTOMEDI
Practice Address - State:MN
Practice Address - Zip Code:55115-2060
Practice Address - Country:US
Practice Address - Phone:651-243-2484
Practice Address - Fax:651-925-0045
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor