Provider Demographics
NPI:1528601044
Name:MYERS, TAYLOR R (FNP-C)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:R
Last Name:MYERS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 MORNING SUN RD STE D
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-9546
Mailing Address - Country:US
Mailing Address - Phone:513-523-4195
Mailing Address - Fax:513-523-4353
Practice Address - Street 1:5151 MORNING SUN RD STE D
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-9546
Practice Address - Country:US
Practice Address - Phone:513-523-4195
Practice Address - Fax:513-523-4353
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025544363L00000X, 363LF0000X
IN71009516A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner