MEDICARE: TAYLOR ANN HAVARD

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	1-178393	AL
2	363LA2100X	Acute Care Nurse Practitioner	1-178393	AL
3	363L00000X	Nurse Practitioner	1-178393	AL

General Provider Information

NPI Number	:	1871251249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ANN HAVARD

Provider Business Mailing Address
First Line	:	400 LEM MORRISON DRIVE
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36849-0001
Country	:	US
Telephone Number	:	334-444-2610
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 E SOUTH BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-2315
Country	:	US
Telephone Number	:	334-281-4566
Fax Number	:

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

Provider Enumeration Date	:	12/02/2021
Last Update Date	:	08/25/2024

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Directions to “ TAYLOR ANN HAVARD ” Practice Location

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