Healthcare Provider Details

I. General information

NPI: 1336928126
Provider Name (Legal Business Name): ASHLEY ANNETTE SKOK TAYLOR FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2446 RESEARCH PKWY STE 200
COLORADO SPRINGS CO
80920-1087
US

IV. Provider business mailing address

8101 E LOWRY BLVD STE 120
DENVER CO
80230-7195
US

V. Phone/Fax

Practice location:
  • Phone: 719-623-1050
  • Fax:
Mailing address:
  • Phone: 720-865-6072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0999154-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: