Taylor, Tina M
Taylor, Tina M is an individual health care provider with primary practice located at 170 Flanders Rd , Niantic CT 06357-1208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Taylor, Tina M can be contacted via phone (860) 739-7444.Contact Information
Primary practice address
170 Flanders Rd
Niantic CT 06357-1208
Phone: (860) 739-7444
Fax: (860) 739-3252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN01363 | Rhode Island |
Profile Details
| NPI number | 1063882538 |
|---|---|
| LBN Legal business name | Taylor, Tina M |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2015 |
| Last updated | Oct 20th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063882538 | NPPES |
| Rhode Island | Other | APRN01363 | LICENSE |
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