MEDICARE: HALLI NICOLE TAYLOR

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	183500000X	Pharmacist	22977	NV

General Provider Information

NPI Number	:	1821662305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLI NICOLE TAYLOR

Provider Business Mailing Address
First Line	:	2214 MARLBORO DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-3728
Country	:	US
Telephone Number	:	702-328-7073
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 S VALLE VERDE DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-3433
Country	:	US
Telephone Number	:	702-837-6117
Fax Number	:

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

Provider Enumeration Date	:	05/18/2021
Last Update Date	:	10/30/2023

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Directions to “ HALLI NICOLE TAYLOR ” Practice Location

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