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Individual

MRS. NICOLE DEWEESE TAYLOR

Active
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Individual

MRS. NICOLE DEWEESE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN176264
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136455B
—
GA
01
—
202I427010
MEDICARE PTAN
GA
01
—
RN176264
LICENSE
GA
Enumeration date
04/17/2013
Last updated
05/07/2015
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