Provider Demographics
NPI:1215791769
Name:COLEMAN, TAYLOR FAYE (MSN, ARNP, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:FAYE
Last Name:COLEMAN
Suffix:
Gender:
Credentials:MSN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 SE LINN ST
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:IA
Mailing Address - Zip Code:50036-4961
Mailing Address - Country:US
Mailing Address - Phone:515-423-0790
Mailing Address - Fax:515-855-3121
Practice Address - Street 1:1208 E CROSS ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544-3501
Practice Address - Country:US
Practice Address - Phone:515-423-0790
Practice Address - Fax:515-855-3121
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA178006207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine