Individual
MS. ASHLY NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632
(360) 423-0203
(360) 423-2311
Mailing address
921 14TH AVE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60026070
WA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN60026070
WA
Other
Enumeration date
05/03/2016
Last updated
10/08/2018
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