Individual
MS. CHAUNTELLE LEIGH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
545 COUNTY ROAD HQ, MARQUETTE, MI 49855-8855
(906) 273-9972
(906) 813-9069
Mailing address
836 WABASH ST, ISHPEMING, MI 49849-1133
(906) 360-3449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704247695
MI
Other
Enumeration date
10/25/2019
Last updated
04/26/2023
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