Healthcare Provider Details

I. General information

NPI: 1669174736
Provider Name (Legal Business Name): MAKAYLA BEATRICE TAYLOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 FOXHUNT DR
BEAR DE
19701-2538
US

IV. Provider business mailing address

PO BOX 151
NEW CASTLE DE
19720-0151
US

V. Phone/Fax

Practice location:
  • Phone: 302-455-0900
  • Fax:
Mailing address:
  • Phone: 302-652-2455
  • Fax: 302-322-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC1-0029819
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: