IndividualActive
Amanda Skvortsov, APRN
NPI 1063238665 · Family Nurse Practitioner · Broken Arrow, OK
Provider details
- NPI number
- 1063238665
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 221063 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
109 W Commercial St
Broken Arrow, OK 74012-4012
Phone: (918) 887-8300
Approximate (ZIP-level) locationGet directions
Mailing address
31193 E 64th St S
Broken Arrow, OK 74014-8529
Registry dates
- Enumerated
- 2024-11-27
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.