Healthcare Provider Details

I. General information

NPI: 1396548863
Provider Name (Legal Business Name): TAYLOR ANDREAS DNP, FNP-BC, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 CORTE MADERA TOWN CTR
CORTE MADERA CA
94925-1207
US

IV. Provider business mailing address

303 CORTE MADERA TOWN CTR
CORTE MADERA CA
94925-1207
US

V. Phone/Fax

Practice location:
  • Phone: 415-330-5590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95036301
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number61067127
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95286933
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: