Provider Demographics
NPI:1013600923
Name:HOLSOMBECK, TAYLOR PATTERSON (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:PATTERSON
Last Name:HOLSOMBECK
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1524
Mailing Address - Country:US
Mailing Address - Phone:205-706-9676
Mailing Address - Fax:
Practice Address - Street 1:1651 INDEPENDENCE CT STE 211
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-4179
Practice Address - Country:US
Practice Address - Phone:205-580-1500
Practice Address - Fax:205-844-3399
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-138716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily