Individual
TARA LYNN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60471609
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61007015
WA
Other
Enumeration date
09/05/2019
Last updated
06/01/2020
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