Provider Demographics
NPI:1326129099
Name:TAYLOR, DENICE RENEE (MSN, APRN-BC, CWOCN)
Entity Type:Individual
Prefix:MRS
First Name:DENICE
Middle Name:RENEE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MSN, APRN-BC, CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7655 ASDEN CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-9757
Mailing Address - Country:US
Mailing Address - Phone:614-861-1120
Mailing Address - Fax:
Practice Address - Street 1:5221 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2503
Practice Address - Country:US
Practice Address - Phone:614-861-1120
Practice Address - Fax:380-203-1299
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-08773363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health