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NPI Code Detail

MEDICARE: ANGELA DAWN TAYLOR APRN

MEDICARE: ANGELA DAWN TAYLOR APRN
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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.019773OH

General Provider Information

NPI Number : 1356899140
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DAWN TAYLOR APRN
Provider Business Mailing Address
First Line : 4019 MATSON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2341
Country : US
Telephone Number : 513-708-9385
Fax Number :
Provider Business Practice Location Address
First Line : 1019 LINN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45203-1314
Country : US
Telephone Number : 513-233-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2016
Last Update Date : 09/21/2016

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