Individual
MRS. TAYLOR WIXON FORD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1220 BROADCASTING RD STE 100, WYOMISSING, PA 19610-3221
(484) 628-5673
Mailing address
2306 LASALLE DR, READING, PA 19609-1215
(610) 914-9187
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP022455
PA
Other
Enumeration date
11/29/2021
Last updated
01/15/2025
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