Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 305564 | NY |
N | 363LP2300X | Nurse Practitioner - Primary Care | 305564 | NY |
N | 363LW0102X | Nurse Practitioner - Women's Health | 421000 | NY |
NPI | 1073822771 |
---|---|
Provider Name | Annelle C Taylor |
First Address | Bronx, NY 10459-3913 |
Second Address | Bronx, NY 10459-3913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2010 |
Last Update Date | 28/12/2011 |