Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4704259281 | MI |
N | 363L00000X | Nurse Practitioner | AP60720815 | WA |
N | 363LA2200X | Nurse Practitioner - Adult Health | 11162 | WI |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11162 | WI |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 11162 | WI |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 6572P | KY |
NPI | 1144521063 |
---|---|
Provider Name | Rebecca Tirrell Taulbee |
First Address | Lexington, KY 40513-1259 |
Second Address | Niles, MI 49120-2287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2010 |
Last Update Date | 11/08/2021 |