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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRAVIS LEE TAYLOR, FNP-C, CRNFA

Active Sole Proprietor

TRAVIS LEE TAYLOR, FNP-C, CRNFA is a Family Nurse Practitioner healthcare provider located in PONDERAY, Idaho. NPI 1255597811 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PONDERAY, ID

Registration Details

NPI Number
1255597811
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2008 (18.016884110966 yrs)
Last Updated
Jul 5, 2014
Licenses
N-37973 (ID)
NP-1376A (ID)
Sole Proprietor
Yes

Practice Information

Address
30544 HIGHWAY 200 STE 102
PONDERAY, ID, 838525005
Browse ID providers · Browse ZIP 83852
Phone
2082659817
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in PONDERAY, ID

Name Credential NPI
GRAHAM CHARLES ANDREWS 1932758083
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.