Provider Demographics
NPI:1831103258
Name:LINDA ANN TAYLOR NURSE PRACTITIONER ADULT HEALTH PC
Entity Type:Organization
Organization Name:LINDA ANN TAYLOR NURSE PRACTITIONER ADULT HEALTH PC
Other - Org Name:NATURAL HARMONY HOLISTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:716-204-9299
Mailing Address - Street 1:222 COUNTRYSIDE LANE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-445-2414
Mailing Address - Fax:
Practice Address - Street 1:1408 SWEET HOME RD
Practice Address - Street 2:SUITE 5
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228
Practice Address - Country:US
Practice Address - Phone:716-204-9299
Practice Address - Fax:716-204-9277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304144363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty