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Individual
SUSAN G. TAYLOR
Active
Individual
SUSAN G. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN522026L
PA
363LF0000X
Family Nurse Practitioner
26NJ00172400
NJ
363LF0000X
Family Nurse Practitioner
Primary
SP009674
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007575
CRNP PRESCRIPTIVE AUTH
PA
05
—
102082840
—
PA
01
—
RN522026L
REGISTERED NURSE LICENSE
PA
01
—
SP009674
CRNP LICENSE
PA
Enumeration date
10/31/2007
Last updated
05/06/2024
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