Individual
ANNA JOHNSONTAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 BRANCH AVE UNIT 1211, PROVIDENCE, RI 02904-5403
(651) 395-9939
Mailing address
725 BRANCH AVE UNIT 1211, PROVIDENCE, RI 02904-5403
(651) 395-9939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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