Provider Demographics
NPI:1215186879
Name:TAYLOR, DAWNELE DIANE (ARNP)
Entity Type:Individual
Prefix:
First Name:DAWNELE
Middle Name:DIANE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7701 E KELLOGG DR
Mailing Address - Street 2:SUITE 490
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-1706
Mailing Address - Country:US
Mailing Address - Phone:316-722-2138
Mailing Address - Fax:800-764-6095
Practice Address - Street 1:7701 E KELLOGG DR
Practice Address - Street 2:SUITE 490
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-1706
Practice Address - Country:US
Practice Address - Phone:316-722-2138
Practice Address - Fax:800-764-6095
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS46278363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily