Taylor, Travis Lee

Taylor, Travis Lee is an sole proprietor health care provider with primary practice located at 30544 Highway 200 Ste 102 , Ponderay ID 83852-5005. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Taylor, Travis Lee can be contacted via phone (208) 265-9817.

Contact Information

Primary practice address
30544 Highway 200 Ste 102 Ponderay ID 83852-5005
Phone: (208) 265-9817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X N-37973 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1376A Idaho

Profile Details

NPI number 1255597811
LBN Legal business name Taylor, Travis Lee
Credentials FNP-C, CRNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2008
Last updated Jul 5th, 2014 - about 10 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.

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