MEDICARE: KATASHA 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
1	363LF0000X	Family Nurse Practitioner	AP09010	LA

General Provider Information

NPI Number	:	1427502004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATASHA TAYLOR

Provider Business Mailing Address
First Line	:	7522 WAYFARER ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2763
Country	:	US
Telephone Number	:	504-615-1881
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 YGNACIO VALLEY RD # 200
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3395
Country	:	US
Telephone Number	:	925-926-0195
Fax Number	:

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

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	03/17/2018

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Directions to “ KATASHA TAYLOR ” Practice Location

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