MEDICARE: MRS. RACHEL NICOLE TAYLOR APRN, FNP-BC

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	163WD0400X	Diabetes Educator Registered Nurse	765476	TX
2	363LF0000X	Family Nurse Practitioner	AP136623	TX

General Provider Information

NPI Number	:	1245730449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL NICOLE TAYLOR APRN, FNP-BC

Provider Business Mailing Address
First Line	:	2743 SMITH RANCH RD STE 1004
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5204
Country	:	US
Telephone Number	:	281-485-7200
Fax Number	:	281-485-7202

Provider Business Practice Location Address
First Line	:	2743 SMITH RANCH RD STE 1004
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5204
Country	:	US
Telephone Number	:	281-485-7200
Fax Number	:	281-485-7202

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

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	07/15/2021

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