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Organization
TAYLORMADE PSYCHIATRY AND WELLNESS LLC
Active
Organization
TAYLORMADE PSYCHIATRY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA MARIE TAYLOR NURSE PRACTITIONER (OWNER)
(928) 364-5830
Entity
Organization
Contact information
Practice address
64 E BROADWAY RD STE 200, TEMPE, AZ 85282-1377
(928) 364-5830
Mailing address
8735 DUNWOODY PL STE R, ATLANTA, GA 30350-2995
(928) 364-5830
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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