Provider Demographics
NPI:1942376330
Name:TAYLOR, NANCI LOUISE (APRN)
Entity Type:Individual
Prefix:MS
First Name:NANCI
Middle Name:LOUISE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618N CABLE RD
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-1658
Mailing Address - Country:US
Mailing Address - Phone:406-563-8186
Mailing Address - Fax:
Practice Address - Street 1:25 WEST FRONT STREET
Practice Address - Street 2:BUTTE FAMILY PLANNING
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701
Practice Address - Country:US
Practice Address - Phone:406-497-5080
Practice Address - Fax:406-497-5099
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN11730163W00000X
MTTAY104303962363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT37163OtherBCBS
MT0439140Medicaid
MT0439140Medicaid
MT000008886Medicare ID - Type Unspecified