Provider Demographics
NPI:1114262722
Name:TAYLOR, ARKINA NIKKI (CSA)
Entity Type:Individual
Prefix:
First Name:ARKINA
Middle Name:NIKKI
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626C ADMIRAL DR
Mailing Address - Street 2:SUITE 748
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2151
Mailing Address - Country:US
Mailing Address - Phone:877-230-9617
Mailing Address - Fax:
Practice Address - Street 1:626C ADMIRAL DR
Practice Address - Street 2:SUITE 748
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2151
Practice Address - Country:US
Practice Address - Phone:877-230-9617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2645246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant