Individual
INDIA VICTORIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8401 MEDICAL PLAZA DR STE 220, CHARLOTTE, NC 28262-8700
(704) 384-1570
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015673
NC
363LF0000X
Family Nurse Practitioner
5015673
NC
363LF0000X
Family Nurse Practitioner
APRN.CNP.0028079
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.0028079
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440930
—
OH
Enumeration date
04/05/2021
Last updated
08/07/2024
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