Taylor Rayne Clontz, RN

Individual provider Active NPI Registered Nurse · Milton, WA

NPI 1801514716 · NPPES record last updated Mar 2, 2025

Key facts

NPI
1801514716
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN61278502 (WA)
Practice address
7224 Pacific Hwy E
Milton, WA 98354-9654
Phone
(253) 220-6183
NPI assigned
Aug 16, 2022
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61278502WAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61278502 WA Yes

Addresses

Primary practice location

7224 Pacific Hwy E
Milton, WA 98354-9654

Mailing address

8303 239TH St E
Graham, WA 98338-9310
Phone (253) 686-0279

Other providers in Milton, WA

All providers in Milton, WA · Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.