Healthcare Provider Details
I. General information
NPI: 1710655014
Provider Name (Legal Business Name): TAYLOR HALE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/01/2021
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
918 HIGH ST
WORTHINGTON OH
43085-4110
US
IV. Provider business mailing address
1885 HENDERSON RD
UPPER ARLINGTON OH
43220-2501
US
V. Phone/Fax
- Phone: 740-395-4707
- Fax:
- Phone: 614-451-6555
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 0028972 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: