Taylor, Tina M

Taylor, Tina M is an individual health care provider with primary practice located at 945 11Th Ave Ste B , Longview WA 98632-2555. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Taylor, Tina M can be contacted via phone (360) 414-8600.

Contact Information

Primary practice address
945 11Th Ave Ste B Longview WA 98632-2555
Phone: (360) 414-8600
Fax: (360) 636-7372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN00113328 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30006904 Washington

Profile Details

NPI number 1306832274
LBN Legal business name Taylor, Tina M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 5th, 2022 - about 4 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 1306832274 NPPES
Washington MEDICAID 9643701
Washington Other 8901809

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