Provider Demographics
NPI:1265276364
Name:NUSS, TAYLOR LYN
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LYN
Last Name:NUSS
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 1:3061 COUNTY ROAD 721
Mailing Address - Street 2:
Mailing Address - City:BUNA
Mailing Address - State:TX
Mailing Address - Zip Code:77612-3675
Mailing Address - Country:US
Mailing Address - Phone:409-679-1639
Mailing Address - Fax:409-200-8776
Practice Address - Street 1:3061 COUNTY ROAD 721
Practice Address - Street 2:
Practice Address - City:BUNA
Practice Address - State:TX
Practice Address - Zip Code:77612-3675
Practice Address - Country:US
Practice Address - Phone:409-679-1639
Practice Address - Fax:409-200-8776
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife