Provider Demographics
NPI:1245766153
Name:PARNALL, TAYLOR HANNA
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:HANNA
Last Name:PARNALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4114 E UNION HILLS DR UNIT 1229
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3330
Mailing Address - Country:US
Mailing Address - Phone:505-319-8936
Mailing Address - Fax:
Practice Address - Street 1:6900 E CAMELBACK RD STE 700
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2400
Practice Address - Country:US
Practice Address - Phone:505-319-8936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1245766153208D00000X
AZR76279208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice