Provider Demographics
NPI:1376988212
Name:TAYLOR, SKYLAR (BA)
Entity Type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 E FLORIDA AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2571
Mailing Address - Country:US
Mailing Address - Phone:970-347-0142
Mailing Address - Fax:
Practice Address - Street 1:3801 E FLORIDA AVE STE 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2538
Practice Address - Country:US
Practice Address - Phone:970-347-0142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator