MEDICARE: RACHEL MARIE 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
1	363L00000X	Nurse Practitioner	876745	NV

General Provider Information

NPI Number	:	1396504197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MARIE TAYLOR APRN

Provider Business Mailing Address
First Line	:	8310 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1873
Country	:	US
Telephone Number	:	702-243-4501
Fax Number	:

Provider Business Practice Location Address
First Line	:	8310 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1873
Country	:	US
Telephone Number	:	702-332-7936
Fax Number	:

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

Provider Enumeration Date	:	03/15/2024
Last Update Date	:	11/07/2024

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