Healthcare Provider Details

I. General information

NPI: 1811819576
Provider Name (Legal Business Name): TAYLOR DAVID SMITH DNP, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 W MAIN ST
BATTLE GROUND WA
98604-4311
US

IV. Provider business mailing address

2005 W MAIN ST
BATTLE GROUND WA
98604-4311
US

V. Phone/Fax

Practice location:
  • Phone: 360-882-2778
  • Fax:
Mailing address:
  • Phone: 360-882-2778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70161251-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: