Individual
ANGELA M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
94060
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30343573
—
NH
01
—
40Y008260NH01
ANTHEM
NH
Enumeration date
02/20/2006
Last updated
06/05/2018
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