Provider Demographics
NPI:1497145429
Name:TAYLOR, SANTINA ARNECIA (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SANTINA
Middle Name:ARNECIA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6033 REBA DR
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77640-2151
Mailing Address - Country:US
Mailing Address - Phone:832-491-3484
Mailing Address - Fax:409-223-7982
Practice Address - Street 1:75 VARICK ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1917
Practice Address - Country:US
Practice Address - Phone:855-961-1942
Practice Address - Fax:866-702-0882
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ283324363LF0000X
CA95021664363LF0000X
CT12671363LF0000X
FLTPAN814363LF0000X
GAGAA-NP001097363LF0000X
NY345264363LF0000X
TXAP127276363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080462703OtherLEGACY COMMUNITY HEALTH SERVICES, INC MEDICAID #