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NPI Code Detail

MEDICARE: TAYLOR MCCUSKER FNP

MEDICARE: TAYLOR MCCUSKER FNP
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
1363LF0000XFamily Nurse PractitionerRN2339419MA

General Provider Information

NPI Number : 1104527738
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR MCCUSKER FNP
Provider Business Mailing Address
First Line : 64 STATION DR APT 2206
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5749
Country : US
Telephone Number : 774-238-8300
Fax Number :
Provider Business Practice Location Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2023
Last Update Date : 02/25/2026

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