Provider Demographics
NPI:1003687104
Name:TAYLOR, ANN KAHL (RN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:KAHL
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 MARCELLA AVE
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277-2447
Mailing Address - Country:US
Mailing Address - Phone:404-542-0934
Mailing Address - Fax:
Practice Address - Street 1:315 MARCELLA AVE
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:GA
Practice Address - Zip Code:30277-2447
Practice Address - Country:US
Practice Address - Phone:404-542-0934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN073114163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care