1285425272 NPI number — TAYLOR MICHELLE LOUISE FRY CNM

Table of content: TAYLOR MICHELLE LOUISE FRY CNM (NPI 1285425272)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285425272 NPI number — TAYLOR MICHELLE LOUISE FRY CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRY
Provider First Name:
TAYLOR
Provider Middle Name:
MICHELLE LOUISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PLOURDE
Provider Other First Name:
TAYLOR
Provider Other Middle Name:
MICHELLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285425272
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
636 GERRY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODSTOCK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60098-3652
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-307-1722
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
636 GERRY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODSTOCK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60098-3652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-307-1722
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2025

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: 367A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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