Taylor Meckenzie Cantrell, PA-C
Physician Assistant in Woodland Park, CO. Individual provider (NPI-1).
NPI number1164056529
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1164056529
- Entity type
- Individual (NPI-1)
- Name
- Taylor Meckenzie Cantrell
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2020
- Certification date
- Jul 10, 2025
- Last updated
- Jul 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0006183 | CO | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – |
Other names
- Taylor Meckenzie Stephens (Former Name)
Practice location
16222 W Us Highway 24 Ste 200Woodland Park, CO 80863-8763
Phone 719-686-0878 · Fax 719-365-7885
Mailing address
2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Phone 970-624-4123 · Fax 970-490-4173
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