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Individual

SUSAN KAYE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
INDIAN HEALTH SERVICE, FT THOMPSON, SD 57339
(605) 245-1513
Mailing address
19751 336TH AVE, HIGHMORE, SD 57345
(605) 852-2774

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R027693
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP001359
SD

Other

Enumeration date
10/13/2006
Last updated
05/30/2018
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