Taylor, Nicole Deweese

Taylor, Nicole Deweese is an individual health care provider with primary practice located at 2300 Manchester Expy Ste B001, Columbus GA 31904-6808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Taylor, Nicole Deweese can be contacted via phone (706) 324-4891.

Contact Information

Primary practice address
2300 Manchester Expy Ste B001 Columbus GA 31904-6808
Phone: (706) 324-4891
Fax: (706) 576-4958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN176264 Georgia

Profile Details

NPI number 1518301860
LBN Legal business name Taylor, Nicole Deweese
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated May 7th, 2015 - about 9 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 1518301860 NPPES
Georgia Other 202I427010 MEDICARE PTAN
Georgia Other RN176264 MEDICARE PTAN
Georgia MEDICAID 003136455B MEDICARE PTAN

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