Healthcare Provider Details

I. General information

NPI: 1346181294
Provider Name (Legal Business Name): LAURYN TAYLOR WALKER PLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURYN SCHULLER PLADC

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 N DARR AVE
GRAND ISLAND NE
68803-4635
US

IV. Provider business mailing address

610 N DARR AVE
GRAND ISLAND NE
68803-4635
US

V. Phone/Fax

Practice location:
  • Phone: 308-382-0422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-2007
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: