Individual
REBECCA SUZANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 CAPITAL MALL DR SW STE A, OLYMPIA, WA 98502-8654
(360) 280-1015
Mailing address
5311 JASON CT SE, LACEY, WA 98513-4309
(360) 280-1015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0017602
WA
363L00000X
Nurse Practitioner
Primary
AP61201960
WA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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