Healthcare Provider Details

I. General information

NPI: 1275815417
Provider Name (Legal Business Name): TAYLOR CATHERINE MEYER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST # 110
BOSTON MA
02114-2696
US

IV. Provider business mailing address

55 FRUIT ST # 110
BOSTON MA
02114-2696
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-3936
  • Fax: 617-726-0311
Mailing address:
  • Phone: 617-726-3936
  • Fax: 617-726-0311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6380
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2267753
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2267753
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: