Individual
CRYSTAL ROSE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
10003 WEBSTER ROAD, CAMDEN ON GAULEY, WV 26208-0069
(304) 226-5725
(304) 226-3274
Mailing address
10003 WEBSTER ROAD, CAMDEN ON GAULEY, WV 26208-0069
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57735
WV
363LP2300X
Primary Care Nurse Practitioner
57735
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57735
LICENSE
WV
Enumeration date
02/28/2008
Last updated
03/01/2021
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