Provider Demographics
NPI:1497170054
Name:DAY, TAYLOR MAUREEN (NP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MAUREEN
Last Name:DAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-4241
Mailing Address - Country:US
Mailing Address - Phone:419-202-6066
Mailing Address - Fax:
Practice Address - Street 1:167 E WASHINGTON ROW
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-2609
Practice Address - Country:US
Practice Address - Phone:419-217-7635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-19
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.450246207Q00000X
OHLPE046052225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist