Individual
BRYAN CHARLES TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
13406 AIRLINE HWY, BATON ROUGE, LA 70817-5917
(225) 753-7233
(225) 753-5188
Mailing address
17100 ACADIA WAY, PRAIRIEVILLE, LA 70769-3442
(225) 445-4788
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05796
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP05796
LOUISIANA STATE BOARD OF NURSING
LA
Enumeration date
07/09/2009
Last updated
07/09/2009
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