Healthcare Provider Details

I. General information

NPI: 1093649964
Provider Name (Legal Business Name): TAYLOR NICOLE MCCREARY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 STONE DR STE D
HARRISON OH
45030-2778
US

IV. Provider business mailing address

10039 E OAK TREE RD
BROOKVILLE IN
47012-9628
US

V. Phone/Fax

Practice location:
  • Phone: 513-951-5736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.02650
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: