Healthcare Provider Details

I. General information

NPI: 1023538378
Provider Name (Legal Business Name): ALYSON TAYLOR-SMITH APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8623 E 32ND ST N
WICHITA KS
67226-3317
US

IV. Provider business mailing address

1214 MCCASKEY DR
ROSE HILL KS
67133-9352
US

V. Phone/Fax

Practice location:
  • Phone: 316-869-2888
  • Fax: 316-425-5550
Mailing address:
  • Phone: 316-304-8614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-77722-091
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number13-104983-091
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number77722
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: