Individual
MR. WENDELL REGINALD TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-2682
(907) 458-2628
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(513) 498-2626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
025228
OH
363LF0000X
Family Nurse Practitioner
Primary
234580
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1756188
—
AK
Enumeration date
08/20/2019
Last updated
02/17/2026
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