Provider Demographics
NPI:1508530155
Name:FLENOY, TAYLOR LASHAJ
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LASHAJ
Last Name:FLENOY
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 1:1505 COBB LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-1388
Mailing Address - Country:US
Mailing Address - Phone:725-217-8044
Mailing Address - Fax:
Practice Address - Street 1:1505 COBB LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-1388
Practice Address - Country:US
Practice Address - Phone:725-217-8044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker