Individual
TINA M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 SAYBROOK RD STE 206, MIDDLETOWN, CT 06457-4775
(860) 344-0333
Mailing address
170 FLANDERS RD, NIANTIC, CT 06357-1208
(860) 739-7444
(401) 444-5527
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
6365
CT
363LP0200X
Pediatric Nurse Practitioner
APRN01363
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01363
LICENSE
RI
Enumeration date
09/28/2015
Last updated
10/08/2025
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