Provider Demographics
NPI:1053527606
Name:TAYLOR, MARGARET ANN (CNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1965 FORD PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1923
Mailing Address - Country:US
Mailing Address - Phone:651-696-5640
Mailing Address - Fax:
Practice Address - Street 1:582 PRAIRIE CENTER DR
Practice Address - Street 2:SUITE 215
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7920
Practice Address - Country:US
Practice Address - Phone:952-653-4499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 060069-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse