MEDICARE: PAULINA ANDREA TAYLOR FNP

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	363LF0000X	Family Nurse Practitioner	F346241-01	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1376156737	OTHER	NY	NPI
2	F346241-01	OTHER	NY	NYS

General Provider Information

NPI Number	:	1376156737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINA ANDREA TAYLOR FNP

Provider Business Mailing Address
First Line	:	3 SANDI DR
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-6005
Country	:	US
Telephone Number	:	845-264-4161
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 MAIN ST
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-2734
Country	:	US
Telephone Number	:	845-573-2273
Fax Number	:

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

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	08/02/2025

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