Healthcare Provider Details

I. General information

NPI: 1366371775
Provider Name (Legal Business Name): TAYLOR SLUSHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 STATE ROUTE 335
BEAVER OH
45613-8801
US

IV. Provider business mailing address

315 STATE ROUTE 335
BEAVER OH
45613-8000
US

V. Phone/Fax

Practice location:
  • Phone: 740-285-9408
  • Fax:
Mailing address:
  • Phone: 740-285-9408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number195199
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: