Catherine Elizabeth Taylor, LPN

Individual provider Active NPI Licensed Practical Nurse · Orting, WA

NPI 1386196483 · NPPES record last updated Oct 25, 2016

Key facts

NPI
1386196483
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LP00050113 (WA)
Practice address
121 Whitesell St NE
Orting, WA 98360-8410
Phone
(360) 893-6500
Fax
(360) 893-4367
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LP00050113WAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP00050113 WA Yes

Addresses

Primary practice location

121 Whitesell St NE
Orting, WA 98360-8410

Mailing address

5000 Birch St
Suite 3000
Newport Beach, CA 92660-2127
Phone (888) 835-0894

Other providers in Orting, WA

All providers in Orting, WA · Licensed Practical Nurse in Washington

Sources for this page

Verify at the official NPI Registry.