Provider Demographics
NPI:1447687884
Name:TAYLOR, LAUREN DANIELLE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:DANIELLE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:L
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1946 OLD HOT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-0674
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:775-882-3859
Practice Address - Street 1:1946 OLD HOT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-0674
Practice Address - Country:US
Practice Address - Phone:775-882-3859
Practice Address - Fax:775-882-3859
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA23271363A00000X
NVPA1602363A00000X
IDPA1215363A00000X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant