Healthcare Provider Details

I. General information

NPI: 1356268403
Provider Name (Legal Business Name): NEVAEH KALISE TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 BROWNSTONE BLVD APT 801
TOLEDO OH
43614-1332
US

IV. Provider business mailing address

1815 BROWNSTONE BLVD APT 801
TOLEDO OH
43614-1332
US

V. Phone/Fax

Practice location:
  • Phone: 419-466-7347
  • Fax:
Mailing address:
  • Phone: 419-466-7347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: