Provider Demographics
NPI:1043882905
Name:SKOCZYLAS, JOYCE NOREEN
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:NOREEN
Last Name:SKOCZYLAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 HANFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-2529
Mailing Address - Country:US
Mailing Address - Phone:215-704-1215
Mailing Address - Fax:267-585-3522
Practice Address - Street 1:821 HANFORD RD
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2529
Practice Address - Country:US
Practice Address - Phone:215-704-1215
Practice Address - Fax:267-585-3522
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN524696L163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health