Healthcare Provider Details
I. General information
NPI: 1740810332
Provider Name (Legal Business Name): APRIL TAYLOR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/22/2020
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
308 HARVARD ST SE
MINNEAPOLIS MN
55455-0353
US
IV. Provider business mailing address
308 HARVARD ST SE
MINNEAPOLIS MN
55455-0353
US
V. Phone/Fax
- Phone: 612-624-6900
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | 2766 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0200X |
| Taxonomy | Critical Care Medicine Registered Nurse |
| License Number | 2479033 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: