Individual
MRS. NATALIE ESANNASON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1060 FIRST COLONIAL ROAD, TIDEWATER INTEGRATED MEDICAL SERVICES, PLLC, VIRGINIA BEACH, VA 23454-3002
(757) 340-3489
(757) 340-4278
Mailing address
PO BOX 2546, VIRGINIA BCH, VA 23450-2546
(757) 340-3489
(757) 340-4278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003051
VA
363A00000X
Physician Assistant
C0004005
MD
Other
Enumeration date
07/13/2009
Last updated
09/16/2011
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