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NPI 1366163594

NPI 1366163594 : TAYLOR WEST DNP, APRN-CNP : MERIDIAN, ID

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General NPI Number Information
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    NPI Number           |    1366163594
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOR WEST DNP, APRN-CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/06/2022
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    1130 E FAIRVIEW AVE 
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    City                 |    MERIDIAN
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    State                |    ID
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    Zip                  |    83642-1813
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    Country              |    US
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    Telephone            |    509-834-1588
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1130 E FAIRVIEW AVE 
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    City                 |    MERIDIAN
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    State                |    ID
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    Zip                  |    83642-1813
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    Country              |    US
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    Telephone            |    208-895-6729
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    3271954
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    License Number State |    ID
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