MEDICARE: TAYLOR AARNS RDN

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1295475820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR AARNS RDN

Provider Business Mailing Address
First Line	:	348 ROANOKE DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62221-5724
Country	:	US
Telephone Number	:	618-795-5870
Fax Number	:

Provider Business Practice Location Address
First Line	:	348 ROANOKE DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62221-5724
Country	:	US
Telephone Number	:	618-795-5870
Fax Number	:

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

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	12/22/2025

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