Individual
NICOLE A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
190 E BANNOCK ST, DEPARTMENT OF ANESTHESIOLOGY, BOISE, ID 83712-6241
(208) 336-0895
Mailing address
2537 W STATE ST STE 200, BOISE, ID 83702-2200
(208) 336-0895
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
069062-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-953A
ID
Other
Enumeration date
01/14/2014
Last updated
11/30/2021
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