MEDICARE: MR. ANTHONY JOSEPH TAYLOR RN, MPH

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	146L00000X	Paramedic	2977-2959	IN
2	163W00000X	Registered Nurse	28293219A	IN

General Provider Information

NPI Number	:	1477349793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY JOSEPH TAYLOR RN, MPH

Provider Business Mailing Address
First Line	:	513 S BLOOMINGTON ST
Second Line	:
City	:	GREENCASTLE
State	:	IN
Zip	:	46135-2113
Country	:	US
Telephone Number	:	765-655-4427
Fax Number	:

Provider Business Practice Location Address
First Line	:	513 S BLOOMINGTON ST
Second Line	:
City	:	GREENCASTLE
State	:	IN
Zip	:	46135-2113
Country	:	US
Telephone Number	:	765-653-3600
Fax Number	:

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

Provider Enumeration Date	:	04/15/2025
Last Update Date	:	04/15/2025

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