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NPI Code Detail

MEDICARE: MS. CAITLIN TAYLOR RN

MEDICARE: MS. CAITLIN TAYLOR RN
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
1163WS0200XSchool Registered Nurse553785-1NY

General Provider Information

NPI Number : 1881978039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAITLIN TAYLOR RN
Provider Business Mailing Address
First Line : 570 N PEARL ST
Second Line : NORTH ALBANY ACADEMY
City : MENANDS
State : NY
Zip : 12204-1659
Country : US
Telephone Number : 518-475-6805
Fax Number : 518-475-6802
Provider Business Practice Location Address
First Line : 570 N PEARL ST
Second Line : NORTH ALBANY ACADEMY
City : MENANDS
State : NY
Zip : 12204-1659
Country : US
Telephone Number : 518-475-6805
Fax Number : 518-475-6802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 10/06/2011

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