MEDICARE: MRS. JULIE ANNE TAYLOR APRN-C

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
1	363L00000X	Nurse Practitioner	25130	ID
2	363L00000X	Nurse Practitioner	NP-1260A	ID
3	363LF0000X	Family Nurse Practitioner	APRN9248714	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1114221546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE ANNE TAYLOR APRN-C

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-1100
Fax Number	:	239-343-1101

Provider Business Practice Location Address
First Line	:	8601 EASTHAVEN CT
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-5214
Country	:	US
Telephone Number	:	727-372-0096
Fax Number	:	813-635-2697

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2010
Last Update Date	:	07/24/2024

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