MEDICARE: MARY TAYLOR-SESAY

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	163W00000X	Registered Nurse	RN592388	PA

General Provider Information

NPI Number	:	1861072290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY TAYLOR-SESAY

Provider Business Mailing Address
First Line	:	21 MAYTIDE ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-2019
Country	:	US
Telephone Number	:	412-512-1934
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 MAYTIDE ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-2019
Country	:	US
Telephone Number	:	412-512-1934
Fax Number	:

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

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	04/09/2021

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Directions to “ MARY TAYLOR-SESAY ” Practice Location

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