Individual
TINA M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
945 11TH AVE STE B, LONGVIEW, WA 98632-2555
(360) 414-8600
(360) 636-7372
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 575-8275
(360) 575-1950
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN00113328
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30006904
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8901809
CRIME VICTIMS
WA
05
—
9643701
—
WA
Enumeration date
09/26/2005
Last updated
01/05/2022
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