Individual
ALYSSA MARIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
Mailing address
3128 DENVER DR, POLAND, OH 44514-2437
(330) 219-6050
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN.441045
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0041268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
10/18/2024
Last updated
01/21/2026
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