Healthcare Provider Details

I. General information

NPI: 1306153069
Provider Name (Legal Business Name): DR. DOMINIQUE M TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DOMINIQUE MARIE PALSER DC, APRN FNP-C

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S ROSELAWN AVE
ARTESIA NM
88210-2462
US

IV. Provider business mailing address

PO BOX 446
ALTO NM
88312-0446
US

V. Phone/Fax

Practice location:
  • Phone: 575-746-3616
  • Fax:
Mailing address:
  • Phone: 575-315-2256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2104
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number68631
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: