Provider Demographics
NPI:1538648779
Name:TAYLOR, NOELLE (DNP)
Entity Type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:
Other - Last Name:CARABINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1872 N SEGO LILLY DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-5494
Mailing Address - Country:US
Mailing Address - Phone:801-787-9470
Mailing Address - Fax:
Practice Address - Street 1:11444 S REDWOOD RD
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-7803
Practice Address - Country:US
Practice Address - Phone:801-253-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8590042-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily