Provider Demographics
NPI:1841576741
Name:TAYLOR, NAEEMAH
Entity Type:Individual
Prefix:
First Name:NAEEMAH
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9518
Mailing Address - Country:US
Mailing Address - Phone:530-809-3300
Mailing Address - Fax:530-809-3399
Practice Address - Street 1:1990 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9518
Practice Address - Country:US
Practice Address - Phone:530-809-3300
Practice Address - Fax:530-809-3399
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily