Healthcare Provider Details

I. General information

NPI: 1891520276
Provider Name (Legal Business Name): MRS. SHARRON TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E CITY AVE STE 300
BALA CYNWYD PA
19004-1512
US

IV. Provider business mailing address

333 E CITY AVE STE 300
BALA CYNWYD PA
19004-1512
US

V. Phone/Fax

Practice location:
  • Phone: 888-586-2021
  • Fax: 610-850-6872
Mailing address:
  • Phone: 888-586-2021
  • Fax: 610-850-6872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: