Provider Demographics
NPI:1164026860
Name:TAYLOR, VERONICA S
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:S
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:SUE
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3347 CASON AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1301
Mailing Address - Country:US
Mailing Address - Phone:419-377-3297
Mailing Address - Fax:
Practice Address - Street 1:3347 CASON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1301
Practice Address - Country:US
Practice Address - Phone:419-377-3297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide