Provider Demographics
NPI:1417374307
Name:TAYLOR, CHYRISE (DNP-FNP)
Entity Type:Individual
Prefix:DR
First Name:CHYRISE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 STATE ROUTE 209
Mailing Address - Street 2:
Mailing Address - City:WURTSBORO
Mailing Address - State:NY
Mailing Address - Zip Code:12790-4042
Mailing Address - Country:US
Mailing Address - Phone:845-888-8100
Mailing Address - Fax:
Practice Address - Street 1:3440 STATE ROUTE 209
Practice Address - Street 2:
Practice Address - City:WURTSBORO
Practice Address - State:NY
Practice Address - Zip Code:12790-4042
Practice Address - Country:US
Practice Address - Phone:845-888-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339136-1363LF0000X
NY576400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse