MEDICARE: TAYLER MARIE RYDALCH 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN-195648	MT

General Provider Information

NPI Number	:	1235862467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLER MARIE RYDALCH PMHNP, BC

Provider Business Mailing Address
First Line	:	84 OHIO ST STE 6
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-1806
Country	:	US
Telephone Number	:	406-646-2470
Fax Number	:	406-399-3911

Provider Business Practice Location Address
First Line	:	2601 EVANS AVE
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-3833
Country	:	US
Telephone Number	:	406-498-8198
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	12/01/2025

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