Provider Demographics
NPI:1225460876
Name:TAULBEE, PETER (APRN)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:TAULBEE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:
Other - Last Name:MAGANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:814 CAROLINE AVE
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-5210
Mailing Address - Country:US
Mailing Address - Phone:785-762-5250
Mailing Address - Fax:
Practice Address - Street 1:814 CAROLINE AVE
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-5210
Practice Address - Country:US
Practice Address - Phone:785-762-5250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN-0992322-NP363LP0808X
KS14116581061163W00000X
KS53-76082-061363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse