Provider Demographics
NPI:1386256394
Name:TAYLOR, CHELSI (DNP)
Entity type:Individual
Prefix:
First Name:CHELSI
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 S 1930 E
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-5588
Mailing Address - Country:US
Mailing Address - Phone:801-494-4909
Mailing Address - Fax:
Practice Address - Street 1:4995 W 11200 N
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:UT
Practice Address - Zip Code:84003-9411
Practice Address - Country:US
Practice Address - Phone:801-494-4909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9412259-4405363L00000X
UT9412259-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse