Provider Demographics
NPI:1528421005
Name:TAYLOR, TALARA KAY (MNSC, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:TALARA
Middle Name:KAY
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MNSC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OK-51 EAST
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:OK
Mailing Address - Zip Code:74960
Mailing Address - Country:US
Mailing Address - Phone:918-696-8800
Mailing Address - Fax:
Practice Address - Street 1:HWY 51 E
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:OK
Practice Address - Zip Code:74960-9811
Practice Address - Country:US
Practice Address - Phone:918-457-9052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily