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NPI Code Detail

MEDICARE: MS. NICOLE A. TAYLOR PMHNP-BC

MEDICARE:  MS. NICOLE A. TAYLOR  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse491467NY
2363LP0808XPsychiatric/Mental Health Nurse PractitionerF405061-01NY

General Provider Information

NPI Number : 1174987432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE A. TAYLOR PMHNP-BC
Provider Business Mailing Address
First Line : 204 MANOR AVE
Second Line :
City : COHOES
State : NY
Zip : 12047-1519
Country : US
Telephone Number : 518-334-1538
Fax Number :
Provider Business Practice Location Address
First Line : 10 MCKOWN RD STE 102
Second Line :
City : ALBANY
State : NY
Zip : 12203-3473
Country : US
Telephone Number : 518-689-0244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 04/08/2025

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Directions to “ MS. NICOLE A. TAYLOR PMHNP-BC” Practice Location

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