Provider Demographics
NPI:1649574070
Name:TAYLOR, REBECCA HOPE (CPM)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:HOPE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MILL HILL RD
Mailing Address - Street 2:
Mailing Address - City:WELLFLEET
Mailing Address - State:MA
Mailing Address - Zip Code:02667-7441
Mailing Address - Country:US
Mailing Address - Phone:181-260-6788
Mailing Address - Fax:
Practice Address - Street 1:55 MILL HILL RD
Practice Address - Street 2:
Practice Address - City:WELLFLEET
Practice Address - State:MA
Practice Address - Zip Code:02667-7441
Practice Address - Country:US
Practice Address - Phone:181-260-6788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife