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Individual

MR. CODY PATRICK TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
1451 LAKEWOOD DR, CHARLESTON, WV 25312-5930
(304) 881-2129
(855) 450-1211

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112763
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112763
WV BOARD OF NURSING
WV
Enumeration date
05/12/2022
Last updated
02/09/2026
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