Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN9366513 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 9366513 | FL |
NPI | 1518470665 |
---|---|
Provider Name | Melanie M Taylor |
First Address | Atlanta, GA 30384-8054 |
Second Address | Miami, FL 33176-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2017 |
Last Update Date | 10/12/2021 |