Michelle Ann Taylor
Nurse Practitioner, Psych/Mental Health in Othello, WA. Individual provider (NPI-1).
NPI number1386007409
StatusActive
Last updated in NPPESFeb 17, 2020
Details
- NPI
- 1386007409
- Entity type
- Individual (NPI-1)
- Name
- Michelle Ann Taylor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2016
- Certification date
- Feb 17, 2020
- Last updated
- Feb 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP60742067 | WA | Yes |
Practice location
1515 E Columbia StOthello, WA 99344-1846
Phone 509-488-5256 · Fax 509-488-9939
Mailing address
1515 E Columbia StOthello, WA 99344-1846
Phone 509-488-5256 · Fax 509-488-9939
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