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Individual

CAROLYN LOUISE TAYLOR-OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42-0007969
VT
207R00000X
Internal Medicine Physician
G42258
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00001718
BLUE CROSS BLUE SHIELD
VT
05
0009474
VT
01
5517787
CIGNA
01
79667
MOHAWK VALLEY HEALTH PLAN
Enumeration date
06/15/2006
Last updated
04/18/2012
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