MEDICARE: TAYLOR RENEE HAMMOND CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	F05260233	OH

General Provider Information

NPI Number	:	1083546329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR RENEE HAMMOND CNP

Provider Business Mailing Address
First Line	:	6746 MUIR RD
Second Line	:
City	:	PEMBERVILLE
State	:	OH
Zip	:	43450-9723
Country	:	US
Telephone Number	:	419-601-4067
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 BEAVER CREEK CIR STE 110
Second Line	:
City	:	MAUMEE
State	:	OH
Zip	:	43537-1746
Country	:	US
Telephone Number	:	419-891-6210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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