Individual
EILEEN K TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
835 SE BISHOP BLVD, PULLMAN, WA 99163-5512
(509) 336-7300
Mailing address
25105 NORTHRIDGE LN, LEWISTON, ID 83501-8024
(208) 798-0225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00128050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252460
LABOR & INDUSTRIES
WA
Enumeration date
01/09/2013
Last updated
01/09/2013
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