Provider Demographics
NPI:1598747008
Name:TAYLOR, GERALDINE SARAH (NP)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:SARAH
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CIDER MILL RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3409
Mailing Address - Country:US
Mailing Address - Phone:978-443-8330
Mailing Address - Fax:
Practice Address - Street 1:STUDENT HEALTH SERVICES, BENTLEY COLLEGE
Practice Address - Street 2:175 FOREST STREET
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452
Practice Address - Country:US
Practice Address - Phone:781-891-2222
Practice Address - Fax:781-891-3443
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA98977363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care