Provider Information for 1013157502
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. CORITA TAYLOR
Sex: Female
NPI: 1013157502
Last Updated: 2009-02-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013157502 | ||||||||
| Enumeration Date | 2009-02-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 14827 UNDERSTANDING CT FLORISSANT, MO 63034-3131 United States Phone: 314-504-6870 | Fax:314-972-1305 | ||||||||
| Primary Practice Address | 737 DUNN RD HAZELWOOD, MO 63042-1740 United States Phone: 314-504-6870 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|