Provider Demographics
NPI:1184328288
Name:TROUTMAN, TAYLOR MCKENZIE (MD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:MCKENZIE
Last Name:TROUTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:TROUTMAN
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1430 TULANE AVE # 8632
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-5192
Mailing Address - Fax:504-988-3518
Practice Address - Street 1:1430 TULANE AVE # 8632
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5192
Practice Address - Fax:504-988-3518
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program