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NPI Code Detail

MEDICARE: MS. PAMELA E TAYLOR APRN

MEDICARE:  MS. PAMELA E TAYLOR  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner3008978KY
2363LF0000XFamily Nurse Practitioner3008978KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104220482
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAMELA E TAYLOR APRN
Provider Business Mailing Address
First Line : 3975 7TH STREET RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40216-4103
Country : US
Telephone Number : 502-825-0075
Fax Number : 859-878-2038
Provider Business Practice Location Address
First Line : 3975 7TH STREET RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40216-4103
Country : US
Telephone Number : 502-825-0075
Fax Number : 859-878-2038
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2014
Last Update Date : 12/14/2018

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Directions to “ MS. PAMELA E TAYLOR APRN” Practice Location

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