NPI 1063238665

Amanda Skvortsov, APRN

Practitioner Family Nurse Practitioner Broken Arrow, OK

Practice location

Address: 109 W Commercial St, Broken Arrow, OK 74012-4012
Phone: (918) 887-8300
Mailing address: 31193 E 64th St S, Broken Arrow, OK 74014-8529

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 221063 (OK)

Other Nurse Practitioner providers in Oklahoma →

Registry record

NPI: 1063238665
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2024
Record last updated: 2 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.