Healthcare Provider Details

I. General information

NPI: 1124957634
Provider Name (Legal Business Name): TAYLOR CLOUD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 LOUGHBORO RD NW BLDG D
WASHINGTON DC
20016-2633
US

IV. Provider business mailing address

1217 WALTER ST SE
WASHINGTON DC
20003-1449
US

V. Phone/Fax

Practice location:
  • Phone: 202-243-5230
  • Fax: 202-243-5221
Mailing address:
  • Phone: 913-244-0784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number500010153
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: