1952584914 NPI number — MRS. RYANN ILLIG TAYLOR MS, APRN

Table of content: MRS. RYANN ILLIG TAYLOR MS, APRN (NPI 1952584914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952584914 NPI number — MRS. RYANN ILLIG TAYLOR MS, APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYLOR
Provider First Name:
RYANN
Provider Middle Name:
ILLIG
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952584914
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/31/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2731 TRANSIT RD
Provider Second Line Business Mailing Address:
STE. 107
Provider Business Mailing Address City Name:
ELMA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14059
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-677-4178
Provider Business Mailing Address Fax Number:
855-816-9607

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2731 TRANSIT RD
Provider Second Line Business Practice Location Address:
STE. 107
Provider Business Practice Location Address City Name:
ELMA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-677-4178
Provider Business Practice Location Address Fax Number:
855-816-9607
Provider Enumeration Date:
12/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  305360 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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