Individual
MRS. NICOLE G. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
660 S EUCLID AVE, CAMPUS BOX 8234, SAINT LOUIS, MO 63110-1010
(314) 362-5692
(314) 362-0626
Mailing address
5112 BROKEN ARROW DR, EDWARDSVILLE, IL 62025-4657
(618) 656-7264
(314) 362-0626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124742
MO
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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