Provider Demographics
NPI:1407582240
Name:ABNER, TAYLOR L (APRN, FNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:L
Last Name:ABNER
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 NEWSTAR WAY APT 202
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-8081
Mailing Address - Country:US
Mailing Address - Phone:859-835-5449
Mailing Address - Fax:
Practice Address - Street 1:1175 NEWSTAR WAY APT 202
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-8081
Practice Address - Country:US
Practice Address - Phone:859-835-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0004351-C-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily