Provider Demographics
NPI:1659002384
Name:REMER, TAYLOR RAE (RN)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:RAE
Last Name:REMER
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 1:5046 S 5200 W
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-7929
Mailing Address - Country:US
Mailing Address - Phone:702-822-0201
Mailing Address - Fax:
Practice Address - Street 1:5046 S 5200 W
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-7929
Practice Address - Country:US
Practice Address - Phone:702-822-0201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8321182-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse