Healthcare Provider Details

I. General information

NPI: 1275053274
Provider Name (Legal Business Name): PATRICIA ANN DURHAM-TAYLOR PHD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 W MOANA LN STE 2
RENO NV
89509-4734
US

IV. Provider business mailing address

1101 W MOANA LN STE 2
RENO NV
89509-4734
US

V. Phone/Fax

Practice location:
  • Phone: 775-337-2394
  • Fax:
Mailing address:
  • Phone: 775-337-2394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN002583
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: