| Nicole Marie Taylor, NP | |
|
4404 Wi-70, Webster, WI 54893 | |
| (715) 349-8554 | |
| Not Available |
| Full Name | Nicole Marie Taylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4404 Wi-70, Webster, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568285229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12037 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 15820-33 (Wisconsin) | Primary |
| Entity Name | Burnett Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356499784 PECOS PAC ID: 2163314931 Enrollment ID: O20040326000457 |
| Entity Name | St. Croix Tribal Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831170091 PECOS PAC ID: 1153369350 Enrollment ID: O20050419000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Taylor, NP Po Box 454, Frederic, WI 54837-0454 Ph: (715) 222-8774 | Nicole Marie Taylor, NP 4404 Wi-70, Webster, WI 54893 Ph: (715) 349-8554 |
Leah B Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26425 Lakeland Ave S, Webster, WI 54893 Phone: 715-866-4271 Fax: 715-483-0507 | |
Erin M Vogland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7456 Main St W, Webster, WI 54893 Phone: 715-866-4271 | |
Lore A. Quinn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7456 Main St W, Webster, WI 54893 Phone: 715-866-4271 Fax: 715-866-4284 | |
Mrs. Jean Marie Roedl, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4404 State Road 70, Webster, WI 54893 Phone: 715-349-8554 |