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NPI Code Detail

MEDICARE: MELANIE TAYER FNP-BC

MEDICARE:   MELANIE  TAYER  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
1363LF0000XFamily Nurse PractitionerSP030423PA
2207Q00000XFamily Medicine PhysicianSP030423PA
3363LP2300XPrimary Care Nurse PractitionerSP030423PA

General Provider Information

NPI Number : 1255163432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE TAYER FNP-BC
Provider Business Mailing Address
First Line : 4500 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-3602
Country : US
Telephone Number : 888-296-4742
Fax Number :
Provider Business Practice Location Address
First Line : 4500 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-3602
Country : US
Telephone Number : 858-334-8594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2024
Last Update Date : 03/12/2026

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Directions to “ MELANIE TAYER FNP-BC” Practice Location

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