Provider Demographics
NPI:1952790123
Name:FURY, TAYLOR (MS, CNS, LDN)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:
Last Name:FURY
Suffix:
Gender:F
Credentials:MS, CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17627 LONGVIEW LN
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2079
Mailing Address - Country:US
Mailing Address - Phone:240-205-6730
Mailing Address - Fax:
Practice Address - Street 1:17627 LONGVIEW LN
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2079
Practice Address - Country:US
Practice Address - Phone:240-205-6730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist