Travis Lee Taylor, FNP-C, CRNFA
Travis Lee Taylor, FNP-C, CRNFA is a Nurse Practitioner in Ponderay, Idaho. Qualified in 2013, 13 years ago. Practices with Michael R Dibenedetto MD PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 13
- Licensed in
- ID
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- FNP-C — Family Nurse Practitioner, Certified
- A family nurse practitioner certified by the AANP.
Practice location Address checks out
30544 Highway 200 Ste 102Ponderay, ID 83852-5005
Phone: (208) 265-9817
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence NP-1376A (ID) |
|---|---|
| Registered Nurse First Assistant | Taxonomy 163WR0006X · Licence N-37973 (ID) |
Record details
| NPI number | 1255597811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP-C , CRNFA |
| Sole proprietor | Yes |
| NPI enumerated | August 4, 2008 |
| Last updated in NPPES | July 5, 2014 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Michael R Dibenedetto Md Pllc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |