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NPI Code Detail

MEDICARE: MRS. TAYLOR LYNN STILLE ARNP

MEDICARE: MRS. TAYLOR LYNN STILLE ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerA138311IA
2363LF0000XFamily Nurse Practitioner138311IA
3363LP2300XPrimary Care Nurse PractitionerA138311IA
4363L00000XNurse Practitioner179437MT

General Provider Information

NPI Number : 1336661677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAYLOR LYNN STILLE ARNP
Provider Business Mailing Address
First Line : 401 RAILROAD ST W
Second Line :
City : MISSOULA
State : MT
Zip : 59802-4178
Country : US
Telephone Number : 406-258-4789
Fax Number : 406-258-4732
Provider Business Practice Location Address
First Line : 401 RAILROAD ST W
Second Line :
City : MISSOULA
State : MT
Zip : 59802-4178
Country : US
Telephone Number : 406-258-4789
Fax Number : 406-258-4732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2017
Last Update Date : 11/11/2021

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