Provider Demographics
NPI:1912291907
Name:TAYLOR, JULIE T (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:T
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:10531 4S COMMONS DR
Mailing Address - Street 2:#500
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-3517
Mailing Address - Country:US
Mailing Address - Phone:858-943-1090
Mailing Address - Fax:858-487-3173
Practice Address - Street 1:10531 4S COMMONS DR
Practice Address - Street 2:#500
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-3517
Practice Address - Country:US
Practice Address - Phone:858-943-1090
Practice Address - Fax:858-487-3173
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA506614163WH0200X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator