MEDICARE: MONIQUE A. TAYLOR-LEWINS FNP

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	APRN.CNP.0031272	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0031272	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CS2318000209	OTHER	OH	CARESOURCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669190120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE A. TAYLOR-LEWINS FNP

Provider Business Mailing Address
First Line	:	1000 E. BROAD STREET
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-1333
Country	:	US
Telephone Number	:	614-252-3636
Fax Number	:	614-251-4061

Provider Business Practice Location Address
First Line	:	1000 E. BROAD STREET
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-1333
Country	:	US
Telephone Number	:	614-252-3636
Fax Number	:	614-251-4061

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

Provider Enumeration Date	:	08/19/2022
Last Update Date	:	09/27/2023

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