Provider Demographics
NPI:1518655026
Name:TAYLOR, CARLA VELISA
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:VELISA
Last Name:TAYLOR
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 1:529 READING AVE STE I3
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1073
Mailing Address - Country:US
Mailing Address - Phone:484-587-0121
Mailing Address - Fax:484-231-3737
Practice Address - Street 1:529 READING AVE STE I3
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1073
Practice Address - Country:US
Practice Address - Phone:484-587-0121
Practice Address - Fax:484-231-3737
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker