Provider Demographics
NPI:1134981814
Name:GAY, TAYLOR JANIECE (CNA)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:JANIECE
Last Name:GAY
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 1:27400 CHARDON RD APT 904
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2772
Mailing Address - Country:US
Mailing Address - Phone:216-315-7709
Mailing Address - Fax:
Practice Address - Street 1:27400 CHARDON RD APT 904
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44092-2772
Practice Address - Country:US
Practice Address - Phone:216-315-7709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602615790123376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide