Provider Demographics
NPI:1295916765
Name:TAYLOR, NANCY D (NP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:D
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3945 E PARADISE FALLS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6687
Mailing Address - Country:US
Mailing Address - Phone:520-429-5474
Mailing Address - Fax:520-395-9796
Practice Address - Street 1:3945 E PARADISE FALLS DR STE 105
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6686
Practice Address - Country:US
Practice Address - Phone:520-689-7022
Practice Address - Fax:520-230-3310
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2022-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZTAP2871363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZPENDINGOtherPENDING MEDICARE NUMBER