Individual
TAYLOR MAKENZIE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 785-7726
Mailing address
8393 MATHIAS DR APT 8, GROSSE ILE, MI 48138-1748
(734) 272-7994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704343485
MI
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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