Individual
CASSIDY E TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
407 E WYANDOTTE ST, MERIDEN, KS 66512-9460
(785) 484-2803
Mailing address
407 E WYANDOTTE ST, MERIDEN, KS 66512-9460
(785) 484-2803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76407
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002290
MEDICARE PTAN
KS
05
—
201107100A
—
KS
Enumeration date
12/24/2014
Last updated
11/06/2025
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