Individual
TAYLOR A SOULAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, FNP-C
Contact information
Practice address
4570 CTY. HWY. 61, MOOSE LAKE, MN 55767-9401
(218) 485-4491
(218) 485-4724
Mailing address
4570 CTY. HWY. 61, MOOSE LAKE, MN 55767-9401
(218) 485-4491
(218) 485-4724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2276049
MN
363LF0000X
Family Nurse Practitioner
Primary
8453
MN
Other
Enumeration date
08/16/2021
Last updated
04/20/2022
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