Individual provider · Type 1 NPI
Travis Lee Taylor, FNP-C, CRNFA
Family Nurse Practitioner · Ponderay, ID
NPI number
1255597811
Active
Practice location
30544 Highway 200 Ste 102
Ponderay, ID 83852-5005
Mailing address
335 S Lavina Ave
Sandpoint, ID 83864-1721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | N-37973 (ID) |
| Family Nurse Practitioner Primary | 363LF0000X | NP-1376A (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Ponderay
About NPI 1255597811
Travis Lee Taylor, FNP-C, CRNFA's National Provider Identifier is 1255597811, issued on Aug 4, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ponderay, ID. The record was last updated on Jul 5, 2014.