Healthcare Provider Details

I. General information

NPI: 1518861723
Provider Name (Legal Business Name): TAYLOR LARSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 WASHINGTON ST APT 2308
PLAINVILLE MA
02762-2195
US

IV. Provider business mailing address

85 WASHINGTON ST APT 2308
PLAINVILLE MA
02762-2195
US

V. Phone/Fax

Practice location:
  • Phone: 508-838-7672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN2317661
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: