MEDICARE: MS. ANGELA BETH 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G186299	IA

General Provider Information

NPI Number	:	1952287161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELA BETH TAYLOR PMHNP-BC

Provider Business Mailing Address
First Line	:	523 HIGH ST
Second Line	:
City	:	ARLINGTON
State	:	IA
Zip	:	50606-9504
Country	:	US
Telephone Number	:	563-920-5204
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 1ST ST SE
Second Line	:
City	:	WAUKON
State	:	IA
Zip	:	52172-2099
Country	:	US
Telephone Number	:	563-568-3411
Fax Number	:	563-568-2787

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

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	12/03/2025

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