Healthcare Provider Details

I. General information

NPI: 1699679142
Provider Name (Legal Business Name): TAYLOR BILYAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 HORSECHESTNUT CT
TRINITY FL
34655-5309
US

IV. Provider business mailing address

1822 HORSECHESTNUT CT
TRINITY FL
34655-5309
US

V. Phone/Fax

Practice location:
  • Phone: 860-753-2816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11051341
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: