Skylar Dawn Poffenberger, RN
Individual provider Active NPI Pain Management Registered Nurse · Bondurant, IA
NPI 1558069807 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1558069807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Management Registered Nurse 163WP0000X
- License
- 154738 (IA)
- Practice address
- 264 Shiloh Rose Pkwy SW
Bondurant, IA 50035-1450 - Phone
- (515) 650-0378
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154738 | IA | MD | Pain Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | 154738 | IA | Yes |
Addresses
Primary practice location
264 Shiloh Rose Pkwy SW
Bondurant, IA 50035-1450
Mailing address
264 Shiloh Rose Pkwy SW
Bondurant, IA 50035-1450
Other practice location 1
3600 30th St
Des Moines, IA 50310-5753
Phone (515) 699-5529 ext. 24423
Other providers in Bondurant, IA
- NLC Harmel Inc.
- Nlcanada, Inc
- Marybeth O'Hara
- Susan L Peden
- Physiotherapy Associates, Inc.
- Prairie City Family Clinic
- Reil Performance, LLC
- Christopher William Reil
- Brant Jeremy Reyerson
- Rooted Family Chiropractic, LLC
All providers in Bondurant, IA · Pain Management Registered Nurse in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.