Taylor, Serenna Kathleen

Taylor, Serenna Kathleen is an individual health care provider with primary practice located at 1 Colville Street , Nespelem WA 99155. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as her primary health care specialty. Taylor, Serenna Kathleen can be contacted via phone (509) 634-2727.

Contact Information

Primary practice address
1 Colville Street Nespelem WA 99155
Fax: (509) 634-2781
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 0110908 Washington

Profile Details

NPI number 1750598041
LBN Legal business name Taylor, Serenna Kathleen
Credentials EMT-B
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 9th, 2007 - about 18 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 1750598041 NPPES
Washington MEDICAID 9545807

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