Provider Demographics
NPI:1063372118
Name:DAVIS, TAYLOR NIKOLE (RN)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:NIKOLE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4238 STATE HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13411-2614
Mailing Address - Country:US
Mailing Address - Phone:607-847-7500
Mailing Address - Fax:607-847-7517
Practice Address - Street 1:4238 STATE HIGHWAY 8
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:NY
Practice Address - Zip Code:13411-2614
Practice Address - Country:US
Practice Address - Phone:607-847-7500
Practice Address - Fax:607-847-7517
Is Sole Proprietor?:No
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY756513-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse