Healthcare Provider Details

I. General information

NPI: 1619702586
Provider Name (Legal Business Name): ERIN TAYLOR DNP, APRN, ACCNS-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NEW BERN AVE
RALEIGH NC
27610-1295
US

IV. Provider business mailing address

3000 NEW BERN AVE
RALEIGH NC
27610-1295
US

V. Phone/Fax

Practice location:
  • Phone: 919-350-9500
  • Fax:
Mailing address:
  • Phone: 919-350-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number327598
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number517
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: