Individual
ALAN B TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
(719) 587-1372
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
(719) 587-1372
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
5180725-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
5203
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190246100
US DEPT OF LABOR
UT
01
—
219509
ALTIUS
UT
01
—
508823
HEALTHY U
UT
01
—
68295
PEHP
UT
01
—
TPRA07482
MOLINA
UT
Enumeration date
08/11/2006
Last updated
06/12/2013
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