Provider Demographics
NPI:1659493583
Name:TAYLOR, MICHAL SCHIPPERS (CNA)
Entity Type:Individual
Prefix:MS
First Name:MICHAL
Middle Name:SCHIPPERS
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 N B ST
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-1309
Mailing Address - Country:US
Mailing Address - Phone:515-962-1122
Mailing Address - Fax:515-962-1122
Practice Address - Street 1:911 N B ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-1309
Practice Address - Country:US
Practice Address - Phone:515-962-1122
Practice Address - Fax:515-962-1122
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide