Healthcare Provider Details

I. General information

NPI: 1346263886
Provider Name (Legal Business Name): KAREN E TAYLOR P.A.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9222 W MILKWEED LOOP
PHOENIX AZ
85037-4361
US

IV. Provider business mailing address

9222 W MILKWEED LOOP
PHOENIX AZ
85037-4361
US

V. Phone/Fax

Practice location:
  • Phone: 623-572-7711
  • Fax: 623-572-7711
Mailing address:
  • Phone: 623-572-7711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number2466
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: