Provider Demographics
NPI:1932633666
Name:TAYLOR, OLIVIA FRANCES
Entity Type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:FRANCES
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6812 ELBROOK RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3728
Mailing Address - Country:US
Mailing Address - Phone:240-695-2049
Mailing Address - Fax:
Practice Address - Street 1:6812 ELBROOK RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3728
Practice Address - Country:US
Practice Address - Phone:240-695-2049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant