Individual provider · Type 1 NPI

Taelor McKenzie Deike, FNP

Family Nurse Practitioner · Banner Elk, NC

NPI number 1962226092 Active

Practice location

2837 Broadstone Road
Banner Elk, NC 28604

Mailing address

150 Wyndham Way
Boone, NC 28607-6786

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1178699 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1962226092

Taelor McKenzie Deike, FNP's National Provider Identifier is 1962226092, issued on Nov 14, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Banner Elk, NC. The record was last updated on Jun 16, 2026.