MEDICARE: DR. NANCY ELIZABETH TAYLOR M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	0101240632	VA

General Provider Information

NPI Number	:	1679716492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY ELIZABETH TAYLOR M.D.

Provider Business Mailing Address
First Line	:	9105 STONY POINT DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-1999
Country	:	US
Telephone Number	:	804-560-4483
Fax Number	:

Provider Business Practice Location Address
First Line	:	9105 STONY POINT DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-1999
Country	:	US
Telephone Number	:	804-560-4483
Fax Number	:

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

Provider Enumeration Date	:	04/08/2009
Last Update Date	:	04/08/2009

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