Glaze, Taylor

Glaze, Taylor is an individual health care provider with primary practice located at 1114 Ga Highway 96 Ste D3-D5 , Kathleen GA 31047-2111. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Glaze, Taylor can be contacted via phone (478) 910-1090.

Contact Information

Primary practice address
1114 Ga Highway 96 Ste D3-D5 Kathleen GA 31047-2111
Phone: (478) 910-1090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X RN239691 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN239691 Georgia

Profile Details

NPI number 1437720364
LBN Legal business name Glaze, Taylor
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2021
Last updated Apr 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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