Healthcare Provider Details

I. General information

NPI: 1558348581
Provider Name (Legal Business Name): SHARON L TAYLOR N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 LAKEVIEW DR
NOBLESVILLE IN
46060-1210
US

IV. Provider business mailing address

210 LAKEVIEW DR
NOBLESVILLE IN
46060-1210
US

V. Phone/Fax

Practice location:
  • Phone: 317-776-1071
  • Fax: 317-776-1072
Mailing address:
  • Phone: 317-776-1071
  • Fax: 317-776-1072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71001834
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: