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NPI Code Detail

MEDICARE: PATRICIA ANN DURHAM-TAYLOR PHD APRN

MEDICARE: PATRICIA ANN DURHAM-TAYLOR PHD APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN002583NV

General Provider Information

NPI Number : 1275053274
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN DURHAM-TAYLOR PHD APRN
Provider Business Mailing Address
First Line : 1101 W MOANA LN STE 2
Second Line :
City : RENO
State : NV
Zip : 89509-4734
Country : US
Telephone Number : 775-337-2394
Fax Number :
Provider Business Practice Location Address
First Line : 1101 W MOANA LN STE 2
Second Line :
City : RENO
State : NV
Zip : 89509-4734
Country : US
Telephone Number : 775-337-2394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2017
Last Update Date : 12/07/2025

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