Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 0024168395 | VA |
NPI | 1053542423 |
---|---|
Provider Name | Dana E. Taylor |
First Address | Fredericksburg, VA 22407-4888 |
Second Address | Fredericksburg, VA 22401-8431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2009 |
Last Update Date | 23/09/2010 |