Individual
MRS. NICHOLE MARIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
801 E 4TH ST STE 14A, GILLETTE, WY 82716-4061
(307) 710-8527
Mailing address
PO BOX 3525, GILLETTE, WY 82717-3525
(307) 363-0883
(949) 404-6138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
MT5055050
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
41951.1832
WY
Other
Enumeration date
11/14/2018
Last updated
05/14/2019
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