Individual
DIANA L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
140 PROFESSIONAL PARK DRIVE, CONWAY, SC 29526
(843) 234-5678
Mailing address
140 PROFESSIONAL PARK DRIVE, CONWAY, SC 29526
(843) 234-5678
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18919
SC
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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