Doctor Name: | DR. RUTHANNE REICHERT TAYLOR |
NPI Number: | 1538278171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C-FNP |
License Number: | 1647-033 |
Business Practice Address: | 39 Sandhill Lane 5114 Etna, WY - 83118 |
Business Phone Number: | 3078833344 |
Business Fax Number: | |
Mailing Address: | Po Box 5114, 39 Sandhill Lane ETNA |
State: | WY |
Postal Code: | 831180114 |
Phone Number: | 3078833344 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1647-033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |