ALICE MARJORIE SKADSBERG NPI 1558394551

NPI Information

NPI: 1558394551
Provider Name: ALICE MARJORIE SKADSBERG
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
400 E 3RD ST
DULUTH, MN
ZIP 55805
Phone: (218) 786-8364
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Alice Marjorie Skadsberg is a psychiatric/mental health and adult clinical nurse specialist in Duluth, MN. Alice Marjorie Skadsberg NPI is 1558394551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 E 3RD ST
DULUTH, MN
ZIP 55805-951
Phone: (218) 786-8364

The enumeration date for this NPI number is 7/10/2006 and was last updated on 4/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	R-059766-5	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S95340	MEDICARE UPIN
2	156658000	MEDICAID	MINNESOTA
3	890000086	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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