Provider Demographics
NPI:1932628070
Name:TAYLOR, ANA ROSA (APRN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:ROSA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 2ND ST
Mailing Address - Street 2:
Mailing Address - City:FRIEND
Mailing Address - State:NE
Mailing Address - Zip Code:68359-1305
Mailing Address - Country:US
Mailing Address - Phone:308-646-2471
Mailing Address - Fax:949-404-6679
Practice Address - Street 1:515 2ND ST
Practice Address - Street 2:
Practice Address - City:FRIEND
Practice Address - State:NE
Practice Address - Zip Code:68359
Practice Address - Country:US
Practice Address - Phone:308-646-2471
Practice Address - Fax:949-404-6679
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-09
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily