MEDICARE: MRS. VALERIE SUE TAYLOR MSN CNM

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	176B00000X	Midwife		NC

General Provider Information

NPI Number	:	1932373313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VALERIE SUE TAYLOR MSN CNM

Provider Business Mailing Address
First Line	:	338 1ST AVE SW
Second Line	:
City	:	TAYLORSVILLE
State	:	NC
Zip	:	28681-2402
Country	:	US
Telephone Number	:	828-632-9704
Fax Number	:	828-632-9008

Provider Business Practice Location Address
First Line	:	338 1ST AVE SW
Second Line	:
City	:	TAYLORSVILLE
State	:	NC
Zip	:	28681-2402
Country	:	US
Telephone Number	:	828-632-9704
Fax Number	:	828-632-9008

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

Provider Enumeration Date	:	04/17/2008
Last Update Date	:	10/29/2014

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