Mr. Timothy Michael Taylor
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
2 W Fern Ave
Redlands
, California 92373-5916
Mr. Timothy Michael Taylor
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
2 W Fern Ave
Redlands
, California 92373-5916
(909) 335-4188
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Mr. Timothy Michael Taylor
- Po Box 10069
- San Bernardino, CA
- Zip : 92423-0069
- Phone : (909) 335-4188
Second Address
- Mr. Timothy Michael Taylor
- 2 W Fern Ave
- Redlands, CA
- Zip : 92373-5916
- Phone : (909) 793-3311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 95012017 | CA |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 95012017 | CA |
National Provider Identifier
| NPI | 1194387373 |
|---|---|
| Provider Name | Mr. Timothy Michael Taylor |
| First Address | San Bernardino, CA 92423-0069 |
| Second Address | Redlands, CA 92373-5916 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2019 |
| Last Update Date | 17/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.