Taylor, Ellen Jane
Taylor, Ellen Jane is an individual health care provider with primary practice located at 700 W Ironwood Dr Suite 170E, Coeur D Alene ID 83814-2656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taylor, Ellen Jane can be contacted via phone (208) 667-9110.Contact Information
Primary practice address
700 W Ironwood Dr Suite 170E
Coeur D Alene ID 83814-2656
Phone: (208) 667-9110
Fax: (208) 676-1272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP467A | Idaho |
Profile Details
| NPI number | 1255301727 |
|---|---|
| LBN Legal business name | Taylor, Ellen Jane |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Oct 6th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255301727 | NPPES |
| Idaho | MEDICAID | 805687300 |
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