MEDICARE: MRS. GERALDINE SARAH TAYLOR NP

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	363LP2300X	Primary Care Nurse Practitioner	98977	MA

General Provider Information

NPI Number	:	1598747008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GERALDINE SARAH TAYLOR NP

Provider Business Mailing Address
First Line	:	28 CIDER MILL RD
Second Line	:
City	:	SUDBURY
State	:	MA
Zip	:	01776-3409
Country	:	US
Telephone Number	:	978-443-8330
Fax Number	:

Provider Business Practice Location Address
First Line	:	STUDENT HEALTH SERVICES, BENTLEY COLLEGE
Second Line	:	175 FOREST STREET
City	:	WALTHAM
State	:	MA
Zip	:	02452
Country	:	US
Telephone Number	:	781-891-2222
Fax Number	:	781-891-3443

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	07/08/2007

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