MEDICARE: MRS. GALE ELIZABETH TAYLOR A.R.N.P.

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
1	363LP0200X	Pediatric Nurse Practitioner	AP30004256	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417057241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GALE ELIZABETH TAYLOR A.R.N.P.

Provider Business Mailing Address
First Line	:	1402 S GRAND BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2247
Country	:	US
Telephone Number	:	509-455-8220
Fax Number	:	509-455-9172

Provider Business Practice Location Address
First Line	:	1402 S GRAND BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2247
Country	:	US
Telephone Number	:	509-455-8220
Fax Number	:	509-455-9172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/08/2007

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