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NPI Code Detail

MEDICARE: MRS. TAYLOR MICHELLE SEHORN

MEDICARE:  MRS. TAYLOR MICHELLE SEHORN
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
1363A00000XPhysician AssistantAZ

General Provider Information

NPI Number : 1679049324
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAYLOR MICHELLE SEHORN
Provider Business Mailing Address
First Line : 3150 E BEARDSLEY RD UNIT 1017
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-3561
Country : US
Telephone Number : 480-862-4417
Fax Number :
Provider Business Practice Location Address
First Line : 20950 N TATUM BLVD STE 190
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4251
Country : US
Telephone Number : 480-776-0021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2018
Last Update Date : 08/12/2019

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Directions to “ MRS. TAYLOR MICHELLE SEHORN ” Practice Location

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