Individual
IDELLE TAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(800) 362-2731
Mailing address
871 LAKE CAROLYN PKWY APT 211, IRVING, TX 75039-4590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP126033
TX
363LF0000X
Family Nurse Practitioner
AP126033
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP126033
TX
Other
Enumeration date
07/23/2014
Last updated
02/18/2026
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