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NPI Code Detail

MEDICARE: TAYLER EDMOND

MEDICARE: TAYLER EDMOND
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
1363LA2200XAdult Health Nurse Practitioner1217776TX
2363LA2200XAdult Health Nurse PractitionerSP035360PA
3363LA2200XAdult Health Nurse PractitionerTPAN3945FL
4363LA2200XAdult Health Nurse Practitioner311438NY

General Provider Information

NPI Number : 1669257788
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLER EDMOND
Provider Business Mailing Address
First Line : 3709 FLATLANDS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3507
Country : US
Telephone Number : 718-444-7766
Fax Number :
Provider Business Practice Location Address
First Line : 1201 FANNIN ST STE 262
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6943
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 03/20/2026

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Directions to “ TAYLER EDMOND ” Practice Location

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