| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KRYSTAL DANAE SKINNER | 1851098115 | 2023-02-11 |
Krystal Danae Skinner is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851098115. Registration indicates Krystal Danae Skinner is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Krystal Danae Skinner PMHNP |
| Other Provider Name | Krystal Danae Horn |
| Practice Office Address | 405 E BEALE ST KINGMAN, AZ US |
| Practice Office Telephone | 9287233354 |
| Mailing Address | 405 E BEALE ST KINGMAN, AZ 864015833 US |
| Business Telephone | 9287233354 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 287274
AZ |
| 193400000X SING | Group Code |