Individual
GLENDENA T TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
(607) 271-3686
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343892
NY
363LF0000X
Family Nurse Practitioner
9208436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05743559
—
NY
05
—
103715456
—
PA
Enumeration date
07/12/2018
Last updated
12/01/2020
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