Healthcare Provider Details

I. General information

NPI: 1992293419
Provider Name (Legal Business Name): ANDREA CELINE WILLOUGHBY TAYLOR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANDREA WILLOUGHBY TAYLOR CRNP

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 WARM SPRINGS AVE
HUNTINGDON PA
16652-2350
US

IV. Provider business mailing address

100 HOSPITAL AVE
DU BOIS PA
15801-1440
US

V. Phone/Fax

Practice location:
  • Phone: 814-643-2290
  • Fax:
Mailing address:
  • Phone: 814-375-6350
  • Fax: 814-372-2571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9338287
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP024431
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP019987
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9338287
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number116675
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: