Taylor, Beverly Ann

Taylor, Beverly Ann is an individual health care provider with primary practice located at 597 W 11Th St , Panama City FL 32401-2330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taylor, Beverly Ann can be contacted via phone (850) 872-4455.

Contact Information

Primary practice address
597 W 11Th St Panama City FL 32401-2330
Fax: (850) 747-5475
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2179012 Florida

Profile Details

NPI number 1609844802
LBN Legal business name Taylor, Beverly Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 11th, 2014 - about 10 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 1609844802 NPPES
Florida MEDICAID 306407700
Florida Other Y061X

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