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NPI Code Detail

MEDICARE: CATHY TAYLOR

MEDICARE:   CATHY  TAYLOR
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
1363LF0000XFamily Nurse PractitionerAP5716AZ
2363LF0000XFamily Nurse Practitioner15824OH

General Provider Information

NPI Number : 1629477039
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY TAYLOR
Provider Business Mailing Address
First Line : 5750 FLORENCE AVE
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-1924
Country : US
Telephone Number : 513-290-4912
Fax Number :
Provider Business Practice Location Address
First Line : 40 E MCMICKEN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-6625
Country : US
Telephone Number : 513-926-7173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2014
Last Update Date : 07/16/2024

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Directions to “ CATHY TAYLOR ” Practice Location

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