Provider Demographics
NPI:1457156598
Name:RYNICKI, TAYLOR LEIGH (CERTIFIED DOULA & BA)
Entity type:Individual
Prefix:
First Name:TAYLOR LEIGH
Middle Name:
Last Name:RYNICKI
Suffix:
Gender:F
Credentials:CERTIFIED DOULA & BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 16TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-2312
Mailing Address - Country:US
Mailing Address - Phone:916-367-3113
Mailing Address - Fax:
Practice Address - Street 1:2612 16TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-2312
Practice Address - Country:US
Practice Address - Phone:916-367-3113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula