Individual ProviderSkye FlahertyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(646) 410-6542PECOS EnrollmentBased on the most recent information from CMS, provider Skye Flaherty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1346778172Provider TypeIndividualFull NameFlaherty, SkyeCredentialNPGenderFemaleSole ProprietorYesEnumeration Date5/24/2017Last Updated7/3/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(646) 410-6542FaxUnlisted FaxMailing LocationMailing Address56 Arlo Rd Apt 2b, Staten Island, NY 10301-3897PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF306941-1New York