MEDICARE: KATHRYN TAYLOR CRNP

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	363LF0000X	Family Nurse Practitioner	SP023616	PA

General Provider Information

NPI Number	:	1326629742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN TAYLOR CRNP

Provider Business Mailing Address
First Line	:	135 MIDWAY DR STE B
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-3857
Country	:	US
Telephone Number	:	814-371-2348
Fax Number	:	814-372-6089

Provider Business Practice Location Address
First Line	:	135 MIDWAY DR STE B
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-3857
Country	:	US
Telephone Number	:	814-371-2348
Fax Number	:	814-372-6089

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

Provider Enumeration Date	:	04/16/2021
Last Update Date	:	03/03/2026

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