| Doctor Name: | MARK RICHARD TAYLOR |
| NPI Number: | 1023338233 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ANRP, FNP |
| License Number: | AP60281164 |
| Business Practice Address: | 22180 Olympic College Way Nw Suite 102 Poulsbo, WA - 983706664 |
| Business Phone Number: | 3607794444 |
| Business Fax Number: | 3606972514 |
| Mailing Address: | 703 Ne Matson St, POULSBO |
| State: | WA |
| Postal Code: | 983708461 |
| Phone Number: | 3606263601 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2010 |
| NPI Last Update Date: | 01/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60281164 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |