Individual
ELLEN JANE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
700 W IRONWOOD DR, SUITE 170E, COEUR D ALENE, ID 83814-2656
(208) 667-9110
(208) 676-1272
Mailing address
700 W IRONWOOD DR, SUITE 272E, COEUR D ALENE, ID 83814-2656
(208) 676-0102
(208) 676-0147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP467A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805687300
—
ID
Enumeration date
01/25/2006
Last updated
10/06/2010
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