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NPI Code Detail

MEDICARE: MEGAN SUZANNE TAYLOR

MEDICARE:   MEGAN SUZANNE TAYLOR
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
1376J00000XHomemakerNV

General Provider Information

NPI Number : 1417562331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN SUZANNE TAYLOR
Provider Business Mailing Address
First Line : 7914 ROSELLEN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5079
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7914 ROSELLEN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5079
Country : US
Telephone Number : 831-241-1006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2020
Last Update Date : 09/09/2020

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Directions to “ MEGAN SUZANNE TAYLOR ” Practice Location

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