Doctor Name: | KRISTA L TAYLOR |
NPI Number: | 1285686808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 466184 |
Business Practice Address: | 173 E Webster St Colusa, CA - 959322949 |
Business Phone Number: | 5304588050 |
Business Fax Number: | 5304585936 |
Mailing Address: | 173 E Webster St, COLUSA |
State: | CA |
Postal Code: | 959322949 |
Phone Number: | 5304588050 |
Fax Number: | 5304585936 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 01/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 466184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |