Provider Demographics
NPI:1952666786
Name:TAYLOR, ELIZABETH SCOTT (APNP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SCOTT
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 ROGERS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4196
Mailing Address - Country:US
Mailing Address - Phone:919-504-4000
Mailing Address - Fax:984-235-1250
Practice Address - Street 1:3150 ROGERS RD STE 101
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4196
Practice Address - Country:US
Practice Address - Phone:919-504-4000
Practice Address - Fax:984-257-1250
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006902363LF0000X
WIF0612206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1952666786Medicaid
NCNCI570FOtherMEDICARE PTAN (PARDEE URGENT CARE)