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NPI Code Detail

MEDICARE: DARLA MICHELLE TAYLOR APRN

MEDICARE:   DARLA MICHELLE TAYLOR  APRN
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
1363L00000XNurse Practitioner96399WV
2363L00000XNurse PractitionerARNP9237353FL

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 : 1811237258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLA MICHELLE TAYLOR APRN
Provider Business Mailing Address
First Line : 3300 S FISKE BLVD
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-4306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1840 ELDRON BLVD SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-6871
Country : US
Telephone Number : 772-226-6868
Fax Number : 321-914-4053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2013
Last Update Date : 02/02/2024

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Directions to “ DARLA MICHELLE TAYLOR APRN” Practice Location

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