Provider Demographics
NPI:1285471680
Name:SKROCH, CALEY BRYN (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:CALEY
Middle Name:BRYN
Last Name:SKROCH
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7015 CANYON CLIFF RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-6139
Mailing Address - Country:US
Mailing Address - Phone:505-321-8444
Mailing Address - Fax:
Practice Address - Street 1:7015 CANYON CLIFF RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-6139
Practice Address - Country:US
Practice Address - Phone:505-321-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM87764163WE0003X
NM81073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency