Doctor Name: | MS. COLLEEN TAYLOR |
NPI Number: | 1598748642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FPNP |
License Number: | R013536 |
Business Practice Address: | 97 Water St Rm 204 Waterville, ME - 049016339 |
Business Phone Number: | 2078591639 |
Business Fax Number: | 2078591696 |
Mailing Address: | Po Box 587, 43 Gabriel Dr AUGUSTA |
State: | ME |
Postal Code: | 043320587 |
Phone Number: | 2076227524 |
Fax Number: | 2076218393 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 10/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WR1000X |
License Number: | R013536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Reproductive Endocrinology/Infertility |
Taxonomy Definition: |