Provider Demographics
NPI:1548338817
Name:TAYLOR, NATALIE MARIE (CNM, WHNP,MSN)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CNM, WHNP,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6390 PARK VILLAGE ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-3474
Mailing Address - Country:US
Mailing Address - Phone:916-424-4659
Mailing Address - Fax:
Practice Address - Street 1:970 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4019
Practice Address - Country:US
Practice Address - Phone:530-751-4022
Practice Address - Fax:530-751-4230
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16129363L00000X
CA1708367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA16129OtherNURSE PRACTITIONER
CA667856OtherREGISTERED NURSE LICENSE
CA1708OtherNURSE MIDWIFE LICENSE