Healthcare Provider Details
I. General information
NPI: 1982138921
Provider Name (Legal Business Name): TAYLOR ALYSE CURRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/17/2017
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 RILEY HOSPITAL DR
INDIANAPOLIS IN
46202-5109
US
IV. Provider business mailing address
PO BOX 778912
CHICAGO IL
60677-8912
US
V. Phone/Fax
- Phone: 317-948-7208
- Fax: 317-944-7247
- Phone: 317-777-6435
- Fax: 317-777-6644
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080S0012X |
| Taxonomy | Pediatric Sleep Medicine Physician |
| License Number | 01093991A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0214X |
| Taxonomy | Pediatric Pulmonology Physician |
| License Number | 01093991A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: