TRAVIS L TAYLOR, FNP-C, CRNFA, Family PONDERAY, ID

Contact Information

TRAVIS L TAYLOR, FNP-C, CRNFA

30544 HIGHWAY 200 STE 102
PONDERAY, ID 83852-5005

Phone: 208-265-9817
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Registered Nurse First Assistant	163WR0006X

Indicates primary specialty

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NPI Profile & details for TRAVIS L TAYLOR · (Male)

NPI #	`1255597811`
Status	Active
Credentials	FNP-C, CRNFA
Entity	Individual
Enumeration date	08/04/2008
Last updated	07/05/2014 - About 12 years ago
Sole proprietor ¹	Yes
Identifiers	ID License # N-37973 ID License # NP-1376A
Hospital affiliation(s)	BONNER GENERAL HOSPITAL - (Critical Access) 520 NORTH THIRD AVENUE SANDPOINT, ID 83864 BOUNDARY COMMUNITY HOSPITAL - (Critical Access) 6640 KANIKSU STREET BONNERS FERRY, ID 83805

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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TRAVIS L TAYLOR, FNP-C, CRNFA – NPI #1255597811Family

Contact Information

Specialty

Family

Registered Nurse First Assistant

NPI Profile & details for TRAVIS L TAYLOR · (Male)

Reviews for TRAVIS L TAYLOR

TRAVIS L TAYLOR, FNP-C, CRNFA – NPI #1255597811
Family