Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 4704176226 | MI |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | NP-07013 | OH |
NPI | 1215013644 |
---|---|
Provider Name | Mrs. Cheryl Renee Taylor |
First Address | Brighton, MI 48116-1653 |
Second Address | Ypsilanti, MI 48197-1051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |