Provider Demographics
NPI:1235862467
Name:RYDALCH, TAYLER MARIE (PMHNP, BC)
Entity Type:Individual
Prefix:
First Name:TAYLER
Middle Name:MARIE
Last Name:RYDALCH
Suffix:
Gender:F
Credentials:PMHNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-3833
Mailing Address - Country:US
Mailing Address - Phone:406-498-8198
Mailing Address - Fax:
Practice Address - Street 1:2601 EVANS AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-3833
Practice Address - Country:US
Practice Address - Phone:406-498-8198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAPRN-195648363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health