Provider Demographics
NPI:1871328880
Name:SILVER, TAYLOR HALE (IBCLC, RD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:HALE
Last Name:SILVER
Suffix:
Gender:F
Credentials:IBCLC, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 W 100 S
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84321-4409
Mailing Address - Country:US
Mailing Address - Phone:435-232-3011
Mailing Address - Fax:
Practice Address - Street 1:143 E 400 N
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-4725
Practice Address - Country:US
Practice Address - Phone:801-923-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT86105178133V00000X
UTL-310951174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered