Provider Demographics
NPI:1013524776
Name:HARRELL, TAYLOR M (CRNA)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:M
Last Name:HARRELL
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-9801
Mailing Address - Country:US
Mailing Address - Phone:941-713-2280
Mailing Address - Fax:
Practice Address - Street 1:1519 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-9801
Practice Address - Country:US
Practice Address - Phone:941-713-2280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1118599367500000X
KY4004545367500000X
FLRN9400589163W00000X
NC007308367500000X
TN31600367500000X
FLAPRN11010731367500000X
MTNUR-APRN-LIC-237259367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse