Malazdrewicz, Taylor N

Malazdrewicz, Taylor N is an individual health care provider with primary practice located at 1200 112Th Ave Ne Ste B100 , Bellevue WA 98004-3751. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Malazdrewicz, Taylor N can be contacted via phone (425) 462-1132.

Contact Information

Primary practice address
1200 112Th Ave Ne Ste B100 Bellevue WA 98004-3751
Fax: (425) 456-3668
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60550781 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP60737303 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60737303 Washington

Profile Details

NPI number 1831639848
LBN Legal business name Malazdrewicz, Taylor N
Credentials ARNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2017
Last updated Jun 17th, 2021 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1831639848 NPPES
Washington MEDICAID 1831639848

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