MEDICARE: PAZLI TAYLOR BSN, 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	RN304887	GA

General Provider Information

NPI Number	:	1538921010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAZLI TAYLOR BSN, RN

Provider Business Mailing Address
First Line	:	1100 PEACHTREE ST NE STE 900
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-4516
Country	:	US
Telephone Number	:	404-445-3048
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 PEACHTREE ST NE STE 900
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-4516
Country	:	US
Telephone Number	:	470-941-0680
Fax Number	:	470-518-5218

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

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