Individual
CYNTHIA A TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7300 FOREST AVE, RICHMOND, VA 23226-3735
(804) 355-9963
Mailing address
PO BOX 71267, RICHMOND, VA 23255-1267
(804) 921-7299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
00242164961
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024164961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215949953
—
VA
01
—
172967
ANTHEM
VA
01
—
P00168231
MEDICARE RAILROAD
VA
Enumeration date
08/12/2006
Last updated
07/09/2021
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