Provider Demographics
NPI:1952287161
Name:TAYLOR, ANGELA BETH (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:BETH
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:50606-9504
Mailing Address - Country:US
Mailing Address - Phone:563-920-5204
Mailing Address - Fax:
Practice Address - Street 1:40 1ST ST SE
Practice Address - Street 2:
Practice Address - City:WAUKON
Practice Address - State:IA
Practice Address - Zip Code:52172-2099
Practice Address - Country:US
Practice Address - Phone:563-568-3411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG186299363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health