Provider Demographics
NPI:1265985899
Name:TAYLOR, NANCY PERROTT (RD, LDN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:PERROTT
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7936 CROW CUT RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37062-8217
Mailing Address - Country:US
Mailing Address - Phone:412-735-2365
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-1368
Practice Address - Country:US
Practice Address - Phone:615-322-7449
Practice Address - Fax:615-936-8128
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133VN1004X
PA972878133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric