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NPI Code Detail

MEDICARE: SARAH JESSICA TAYGAN CNM

MEDICARE: SARAH JESSICA TAYGAN CNM
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
1163W00000XRegistered Nurse823AK
2363LX0001XObstetrics & Gynecology Nurse PractitionerNURU823AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689787137
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JESSICA TAYGAN CNM
Provider Business Mailing Address
First Line : 7033 E TUDOR RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-1262
Country : US
Telephone Number : 907-729-8901
Fax Number : 907-729-5180
Provider Business Practice Location Address
First Line : 4441 DIPLOMACY DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-5910
Country : US
Telephone Number : 907-729-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 01/17/2025

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Directions to “ SARAH JESSICA TAYGAN CNM” Practice Location

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