Healthcare Provider Details

I. General information

NPI: 1942376330
Provider Name (Legal Business Name): NANCI LOUISE TAYLOR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 10/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WEST FRONT STREET BUTTE FAMILY PLANNING
BUTTE MT
59701
US

IV. Provider business mailing address

1618N CABLE RD
ANACONDA MT
59711-1658
US

V. Phone/Fax

Practice location:
  • Phone: 406-497-5080
  • Fax: 406-497-5099
Mailing address:
  • Phone: 406-563-8186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN11730
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberTAY104303962
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: