MEDICARE: ANDREA J TAYLOR BSN, RN, NCSN, LSN

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	163WS0200X	School Registered Nurse	277170-30	WI

General Provider Information

NPI Number	:	1588518013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA J TAYLOR BSN, RN, NCSN, LSN

Provider Business Mailing Address
First Line	:	1900 POLK ST
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-5875
Country	:	US
Telephone Number	:	715-345-5413
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 POLK ST
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-5875
Country	:	US
Telephone Number	:	715-345-5413
Fax Number	:

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

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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