Provider Demographics
NPI:1184866014
Name:TAYLOR, JOYCE (CNA)
Entity Type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 UNIVERSITY BLVD W
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4626
Mailing Address - Country:US
Mailing Address - Phone:301-592-0920
Mailing Address - Fax:301-592-0921
Practice Address - Street 1:607 UNIVERSITY BLVD W
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4626
Practice Address - Country:US
Practice Address - Phone:301-592-0920
Practice Address - Fax:301-592-0921
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA00800469374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide