Provider Demographics
NPI:1942990734
Name:GABLE, TAYLOR (CNM)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:GABLE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2880 EL CAPITAN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-2016
Mailing Address - Country:US
Mailing Address - Phone:313-618-0757
Mailing Address - Fax:
Practice Address - Street 1:9475 BRIAR VILLAGE PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7901
Practice Address - Country:US
Practice Address - Phone:313-618-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0998380-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife