Provider Demographics
NPI:1104888064
Name:SKIPPER, MARILYN LOUISE (RN , MN, ARNP,CNM)
Entity type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:LOUISE
Last Name:SKIPPER
Suffix:
Gender:F
Credentials:RN , MN, ARNP,CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 W FLORENTIA PL
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-1849
Mailing Address - Country:US
Mailing Address - Phone:206-283-5277
Mailing Address - Fax:
Practice Address - Street 1:1229 MADISON ST
Practice Address - Street 2:SUITE # 750
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3586
Practice Address - Country:US
Practice Address - Phone:206-386-2101
Practice Address - Fax:206-386-2555
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00075280163WP1700X
WAAP30004286163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP1700XNursing Service ProvidersRegistered NursePerinatal
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care