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Individual

THERESE M. TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
104 EAST 2ND STREET, HAMOT BARIATRIC SURGERY CENTER, ERIE, PA 16507
(814) 877-6997
(814) 877-6356
Mailing address
717 STATE STREET,, SUITE 16 LL REGIONAL HEALTH SERVICES, INC, ERIE, PA 16501-1360
(814) 480-7100
(814) 480-7604

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN502657L
PA
163WX0200X
Oncology Registered Nurse
Primary
TP007043B
PA

Other

Enumeration date
02/05/2007
Last updated
03/09/2009
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