Provider Demographics
NPI:1215013644
Name:TAYLOR, CHERYL RENEE (MSN, RNC, CNNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:RENEE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MSN, RNC, CNNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 NELSON ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1653
Mailing Address - Country:US
Mailing Address - Phone:810-229-3368
Mailing Address - Fax:
Practice Address - Street 1:ST. JOSEPH MERCY HOSPITAL
Practice Address - Street 2:5301 MCAULEY DRIVE
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704176226163WN0002X, 363LN0005X
OHRN-302188163WN0002X
OHNP-07013363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
Not Answered363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care