Provider Demographics
NPI:1730641382
Name:BROWN, TAYLOR K (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:K
Last Name:BROWN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6293 CALLE DE HIDALGO
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566
Mailing Address - Country:US
Mailing Address - Phone:850-529-5290
Mailing Address - Fax:
Practice Address - Street 1:2220 GLORIA CIR
Practice Address - Street 2:APT 90
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5343
Practice Address - Country:US
Practice Address - Phone:850-898-0821
Practice Address - Fax:850-441-6145
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered