Healthcare Provider Details

I. General information

NPI: 1063884013
Provider Name (Legal Business Name): ALLISON TAYLOR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 10/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 NIGHTLIGHT DR
YORK PA
17402-8808
US

IV. Provider business mailing address

848 NIGHTLIGHT DR
YORK PA
17402-8808
US

V. Phone/Fax

Practice location:
  • Phone: 610-742-7734
  • Fax:
Mailing address:
  • Phone: 610-742-7734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN585534
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: