Provider Demographics
NPI:1770613291
Name:TAYLOR, DEE CERN (PHN)
Entity type:Individual
Prefix:
First Name:DEE
Middle Name:CERN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 RUNNING QUAIL CT
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-8337
Mailing Address - Country:US
Mailing Address - Phone:530-626-1196
Mailing Address - Fax:
Practice Address - Street 1:929 SPRING ST
Practice Address - Street 2:EL DORADO CO. PUBLIC HEALTH DEPT.
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-4543
Practice Address - Country:US
Practice Address - Phone:530-621-6231
Practice Address - Fax:530-622-5109
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA377909364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health