Healthcare Provider Details

I. General information

NPI: 1508706953
Provider Name (Legal Business Name): TAYLOR RENEA FAUGHT BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-3427
US

IV. Provider business mailing address

10199 WELCH RD
ORIENT OH
43146-9576
US

V. Phone/Fax

Practice location:
  • Phone: 614-307-3325
  • Fax:
Mailing address:
  • Phone: 614-307-3325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN.477503
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: