Taylor, Mary L

Taylor, Mary L is an individual health care provider with primary practice located at 3301 W 144Th Ave Unit 200 , Broomfield CO 80023-9511. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Taylor, Mary L can be contacted via phone (303) 438-5522.

Contact Information

Primary practice address
3301 W 144Th Ave Unit 200 Broomfield CO 80023-9511
Phone: (303) 438-5522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 64257 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN.0002405-NP Colorado

Profile Details

NPI number 1255461018
LBN Legal business name Taylor, Mary L
Credentials MSN, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jan 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255461018 NPPES
Colorado MEDICAID 09023232
Colorado Other 017214

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