TRAVIS LEE TAYLOR FNP-C CRNFA NPI 1255597811

NPI Information

NPI: 1255597811
Provider Name: TRAVIS LEE TAYLOR, FNP-C, CRNFA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
30544 HIGHWAY 200 STE 102
PONDERAY, ID
ZIP 83852
Phone: (208) 265-9817
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Travis Lee Taylor, FNP-C, CRNFA is a family nurse practitioner in Ponderay, ID with 11 years of experience. Travis Lee Taylor, FNP-C, CRNFA NPI is 1255597811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30544 HIGHWAY 200 STE 102
PONDERAY, ID
ZIP 83852-005
Phone: (208) 265-9817

The NPI 1255597811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 7/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WR0006X	Registered Nurse	Registered Nurse First Assistant	N-37973	IDAHO	No
2	363LF0000X	Nurse Practitioner	Family	NP-1376A	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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