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Taylor Paden, AA-S

Anesthesiologist Assistant in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1902394836
StatusActive
Last updated in NPPESMar 3, 2023

Details

NPI
1902394836
Entity type
Individual (NPI-1)
Name
Mr. Taylor Paden
Credential
AA-S
Sex
Male
Sole proprietor
No
Enumeration date
Apr 26, 2018
Certification date
Mar 3, 2023
Last updated
Mar 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant75000058AINYes
367H00000X Anesthesiologist Assistant2018016969MO

Practice location

11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714

Phone 260-425-6030 · Fax 260-425-6028

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

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