Provider Demographics
NPI:1538500038
Name:TAYLOR, ABEBI (RN)
Entity Type:Individual
Prefix:MS
First Name:ABEBI
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 TERRY LN
Mailing Address - Street 2:APT 198
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-5608
Mailing Address - Country:US
Mailing Address - Phone:845-428-1116
Mailing Address - Fax:
Practice Address - Street 1:20 TERRY LN
Practice Address - Street 2:APT 198
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-5608
Practice Address - Country:US
Practice Address - Phone:845-428-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY670768-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse