Individual
MARY L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP
Contact information
Practice address
3301 W 144TH AVE UNIT 200, BROOMFIELD, CO 80023-9511
(303) 438-5522
Mailing address
1870 W 122ND AVE STE 100, WESTMINSTER, CO 80234-2075
(303) 853-3500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
64257
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0002405-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017214
KAISER-COMMERCIAL NUMBER
—
05
—
09023232
—
CO
Enumeration date
03/07/2007
Last updated
01/26/2023
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