Healthcare Provider Details

I. General information

NPI: 1205791977
Provider Name (Legal Business Name): TAYLOR J CARDINAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 HOSPITAL RD
NEW RICHMOND WI
54017-1449
US

IV. Provider business mailing address

535 HOSPITAL RD
NEW RICHMOND WI
54017-1449
US

V. Phone/Fax

Practice location:
  • Phone: 715-243-2900
  • Fax: 715-243-2881
Mailing address:
  • Phone: 715-243-2900
  • Fax: 715-243-2881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number219052-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: