National Provider Identifier

Taylar Jo Vangorden, LPN

Taylar Jo Vangorden, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 857-8912.

NPI 1346874930Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1346874930
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 24, 2020
Last Updated
February 24, 2020

Practice Location

  • 505 W Washington Ave
  • Elmira, NY 14901-1910

Phone: (607) 857-8912

Mailing Address

  • 204 Parkhurst St
  • Elkland, PA 16920-1112

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1346874930
Entity Type
Individual
Last Name
Vangorden
First Name
Taylar
Middle Name
Jo
Credential
LPN
Mailing Street Address
204 Parkhurst St
Mailing City
Elkland
Mailing State
PA
Mailing ZIP Code
16920-1112
Mailing Country
US
Mailing Phone
(607) 857-8912
Practice Street Address
505 W Washington Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1910
Practice Country
US
Practice Phone
(607) 857-8912
Enumeration Date
February 24, 2020
Last Updated
February 24, 2020
Sex
Female
Sole Proprietor
No
Certification Date
February 24, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Licensed Practical Nurse (164W00000X)