Individual
DORIS SUSAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4956 LONG BEACH RD SE STE 14, PMB 135, SOUTHPORT, NC 28461-9127
(910) 278-1516
Mailing address
4956 LONG BEACH RD SE STE 14, PMB 135, SOUTHPORT, NC 28461-9127
(910) 278-1516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1866
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
939
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1081
—
SC
Enumeration date
04/11/2006
Last updated
07/19/2021
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