Most Relevant Information
Provider Data
| NPI Number: | 1003558214 |
| Provider Name: | MARY KATHLEEN SKAFIDAS ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | A177230 |
Most Important Dates
| Enumeration Date: | 04/08/2022 |
| Last Updated: | 05/23/2024 |
Provider Practice Location
1351 KIMBERLY RD STE 100
BETTENDORF
IA
527224193
Practice Location Phone/Fax
| Phone: | 5633557733 |
| Fax: | 5633559077 |
Provider Mailing Location
200 HAWKINS DR
IOWA CITY
IA
522421009
Provider Mailing Phone/Fax
| Phone: | 5633557733 |
| Fax: | 5633559077 |