Provider Demographics
NPI:1639468408
Name:TAYLOR, ANGELA C (NHD, CLD, IBCLC, CPD)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:C
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:NHD, CLD, IBCLC, CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 S HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67152-8419
Mailing Address - Country:US
Mailing Address - Phone:620-326-2498
Mailing Address - Fax:
Practice Address - Street 1:490 S HOOVER RD
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:KS
Practice Address - Zip Code:67152-8419
Practice Address - Country:US
Practice Address - Phone:620-326-2498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula