Provider Demographics
NPI:1508468323
Name:MATHEWS, TAYLOR (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21803 N SCOTTSDALE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7446
Mailing Address - Country:US
Mailing Address - Phone:480-500-1902
Mailing Address - Fax:480-500-1909
Practice Address - Street 1:21803 N SCOTTSDALE RD STE 200
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7446
Practice Address - Country:US
Practice Address - Phone:480-500-1902
Practice Address - Fax:480-500-1909
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ270280363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner