PHYLLIS I SKADAHL CNP
NPI 1417252479
Nurse Practitioner in Mankato, MN

Active since January 21, 2011
1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phyllis I Skadahl Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS I SKADAHL CNP (NPI 1417252479) is an individual nurse practitioner in Mankato, Minnesota, licensed in Minnesota (R94183-1) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1417252479
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePHYLLIS I SKADAHLCredential: CNP
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-4031
Sole ProprietorNo
Enumeration DateJanuary 21, 2011
NPI 1417252479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · R94183-1
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1025 MARSH ST, Mankato, MN 56001

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Skadahl's NPI number?

The NPI number for Phyllis Skadahl is 1417252479. It was assigned to this individual provider in the NPPES registry on January 21, 2011.

Where is Phyllis Skadahl located?

Phyllis Skadahl practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is Phyllis Skadahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Skadahl was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.