Provider Demographics
NPI:1487942694
Name:SKEEN, DANIEL S (APNP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:SKEEN
Suffix:
Gender:M
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4186 SHADY LN
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-9524
Mailing Address - Country:US
Mailing Address - Phone:715-891-1673
Mailing Address - Fax:
Practice Address - Street 1:4186 SHADY LN
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-9524
Practice Address - Country:US
Practice Address - Phone:715-891-1673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4456-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner