Individual
WILLIAM HENRY TAYLOR V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
141 ROUTE 70 E STE B, MARLTON, NJ 08053-1855
(856) 596-9057
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR22665200
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
26NJ15000900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0986259
—
NJ
Enumeration date
11/08/2023
Last updated
10/15/2024
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