MEDICARE: MRS. ANNE MARIE TAYLOR ANP

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	363LA2200X	Adult Health Nurse Practitioner	A2500	SC

General Provider Information

NPI Number	:	1689645996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE MARIE TAYLOR ANP

Provider Business Mailing Address
First Line	:	1833 N. PARIS AVENUE
Second Line	:
City	:	PORT ROYAL
State	:	SC
Zip	:	29935-2029
Country	:	US
Telephone Number	:	843-522-1420
Fax Number	:	843-522-1460

Provider Business Practice Location Address
First Line	:	1833 N. PARIS AVENUE
Second Line	:
City	:	PORT ROYAL
State	:	SC
Zip	:	29935-2029
Country	:	US
Telephone Number	:	843-522-1420
Fax Number	:	843-522-1460

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	02/03/2025

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