Individual provider · NPI-1
Tanya Suzette Taylor, RN
Registered Nurse, General Practice · Wilmington, DE
NPI number1467169359
StatusActive
Last updated in NPPESNov 1, 2022
Details
- NPI
- 1467169359
- Entity type
- Individual (NPI-1)
- Name
- Tanya Suzette Taylor
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2022
- Certification date
- Nov 1, 2022
- Last updated
- Nov 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | L1-0039130 | DE | Yes |
Other names
- Tanya Suzette Glover-Taylor (Other Name)
Practice location
1601 Kirkwood HwyWilmington, DE 19805-4917
Phone 302-994-2511
Mailing address
213 Scotish DrMiddletown, DE 19709-8757
Phone 215-817-8322
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