Individual
ANASTASIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6016 E UNIVERSITY BLVD, 119, DALLAS, TX 75206
(214) 334-5595
Mailing address
10111 ANDRE DR, IRVING, TX 75063-5933
(214) 334-5595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
772041
TX
363LF0000X
Family Nurse Practitioner
09723
LA
363LF0000X
Family Nurse Practitioner
772041
TX
Other
Enumeration date
02/09/2015
Last updated
02/27/2024
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