Healthcare Provider Details

I. General information

NPI: 1427966944
Provider Name (Legal Business Name): STEPHANIE SWEATT TAYLOR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 E BROAD ST
RICHMOND VA
23219-1850
US

IV. Provider business mailing address

1306 TOMAHAWK CREEK RD
MIDLOTHIAN VA
23114-4547
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-9788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001218778
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: