Provider Demographics
NPI:1144936634
Name:CAROLAN, TAYLER SHEA (APRN, FNP-C, FNP-BC)
Entity type:Individual
Prefix:
First Name:TAYLER
Middle Name:SHEA
Last Name:CAROLAN
Suffix:
Gender:F
Credentials:APRN, FNP-C, FNP-BC
Other - Prefix:
Other - First Name:TAYLER
Other - Middle Name:SHEA
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 HERITAGE WAY STE 2100
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3167
Mailing Address - Country:US
Mailing Address - Phone:406-257-8992
Mailing Address - Fax:
Practice Address - Street 1:350 HERITAGE WAY STE 2100
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3167
Practice Address - Country:US
Practice Address - Phone:406-257-8992
Practice Address - Fax:406-257-8996
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1107088363LF0000X
MTNUR-APRN-LIC-216720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily