MEDICARE: ASHLEY CRISTINE TAYLOR RN

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	163W00000X	Registered Nurse	979650	TX

General Provider Information

NPI Number	:	1275130429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY CRISTINE TAYLOR RN

Provider Business Mailing Address
First Line	:	4902 CORIAN SPRINGS DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-5669
Country	:	US
Telephone Number	:	360-250-1815
Fax Number	:

Provider Business Practice Location Address
First Line	:	4902 CORIAN SPRINGS DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-5669
Country	:	US
Telephone Number	:	360-250-1815
Fax Number	:

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

Provider Enumeration Date	:	10/01/2020
Last Update Date	:	10/01/2020

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