Healthcare Provider Details

I. General information

NPI: 1669605093
Provider Name (Legal Business Name): DAVID D TAYLOR CNS, NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 08/11/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE ATTENTION CRITICAL CARE DEPARTMENT
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

117 ISLAND HILL RD
PALMYRA VA
22963-2146
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-2819
  • Fax:
Mailing address:
  • Phone: 757-615-2337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024194218
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number0024194218
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: