MEDICARE: MS. GINGER TAYLOR A.P.R.N

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	363LF0000X	CT
2	363LF0000X	Family Nurse Practitioner	000613	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740377050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GINGER TAYLOR A.P.R.N

Provider Business Mailing Address
First Line	:	1 OLD PARK LANE
Second Line	:	SUITE 2
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-2507
Country	:	US
Telephone Number	:	860-355-3728
Fax Number	:	860-355-4253

Provider Business Practice Location Address
First Line	:	1 OLD PARK LANE RD
Second Line	:	SUITE 2
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-2507
Country	:	US
Telephone Number	:	860-355-3728
Fax Number	:	860-355-4253

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	02/11/2009

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