Healthcare Provider Details

I. General information

NPI: 1780081323
Provider Name (Legal Business Name): ELISABETH TAURINO ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2014
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CARROLL ST
SALISBURY MD
21801-5493
US

IV. Provider business mailing address

100 E CARROLL ST
SALISBURY MD
21801-5493
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-7722
  • Fax:
Mailing address:
  • Phone: 800-749-5191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024172180
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAC002869
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: