Healthcare Provider Details

I. General information

NPI: 1003560434
Provider Name (Legal Business Name): TAYLOR ALZABEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 M ST NW
WASHINGTON DC
20037-1434
US

IV. Provider business mailing address

2300 M ST NW
WASHINGTON DC
20037-1434
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3100
  • Fax:
Mailing address:
  • Phone: 202-741-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN1047115
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP1047115
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: