Provider Demographics
NPI:1588477483
Name:TAYLOR, HOLLY KAYE (RN)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:KAYE
Last Name:TAYLOR
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 1:13988 S 21ST PL E
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-2190
Mailing Address - Country:US
Mailing Address - Phone:918-857-1467
Mailing Address - Fax:
Practice Address - Street 1:10810 E 45TH ST STE 400
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-3806
Practice Address - Country:US
Practice Address - Phone:918-857-1467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK209104163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management