Breanna Skroch, RN
Individual provider Active NPI Home Health Registered Nurse · Rice, MN
NPI 1922414838 · NPPES record last updated Jul 11, 2014
Key facts
- NPI
- 1922414838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- R2154572 (MN)
- Practice address
- 15459 15TH Ave NE
Rice, MN 56367-9717 - Phone
- (320) 309-5173
- NPI assigned
- Jul 11, 2014
- 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 |
|---|---|---|---|
| R2154572 | MN | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R2154572 | MN | Yes |
Addresses
Primary practice location
15459 15TH Ave NE
Rice, MN 56367-9717
Mailing address
15459 15TH Ave NE
Rice, MN 56367-9717
Phone (320) 309-5173
Other providers in Rice, MN
- Midwest Health Resources
- Amanda Sue Moen
- Northlink Mobility LLC
- Johnathon Omann
- Preferred Mobility
- Trobec Family Dental, PA.
- Paul Michael Trobec
- Saralicia Jane Waugh
- Workmed Midwest PA
All providers in Rice, MN · Home Health Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2014. 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.