Provider Demographics
NPI:1073095063
Name:DARNAUER, TAYLOR OHOTTO (CNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:OHOTTO
Last Name:DARNAUER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18888 LAKE DR E
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-9328
Mailing Address - Country:US
Mailing Address - Phone:952-443-4600
Mailing Address - Fax:612-500-4798
Practice Address - Street 1:18888 LAKE DR E
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-9328
Practice Address - Country:US
Practice Address - Phone:952-443-4600
Practice Address - Fax:612-500-4798
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2457827163WP0809X
390200000X
MN8469363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program