Provider Demographics
NPI:1376350728
Name:ROBERTS, TAYLA KATHLEEN (APRN-CNP)
Entity type:Individual
Prefix:MS
First Name:TAYLA
Middle Name:KATHLEEN
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:159 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-5638
Mailing Address - Country:US
Mailing Address - Phone:207-743-2945
Mailing Address - Fax:207-743-2751
Practice Address - Street 1:159 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5638
Practice Address - Country:US
Practice Address - Phone:207-743-2945
Practice Address - Fax:207-743-2751
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MECNP241791363LF0000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily