Healthcare Provider Details

I. General information

NPI: 1144191560
Provider Name (Legal Business Name): TANYA DENISE TAYLOR MSN, APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 MATLOCK RD STE 350
ARLINGTON TX
76015-2954
US

IV. Provider business mailing address

PO BOX 1096
ROWLETT TX
75030-1096
US

V. Phone/Fax

Practice location:
  • Phone: 817-468-3255
  • Fax: 817-468-7823
Mailing address:
  • Phone: 760-870-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1213221
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: