Individual
MISS SHELLY LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 SEASIDE AVE, MILFORD, CT 06460-4603
(203) 688-1734
(475) 246-9106
Mailing address
307 ARNDELL RD, ROCHESTER, KY 42273-8359
(239) 848-6390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12765
CT
363LF0000X
Family Nurse Practitioner
3015904
KY
363LP2300X
Primary Care Nurse Practitioner
ARNP 2879292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3015904
STATE LICENSE
KY
01
—
ARNP 2879292
STATE LICENSE
FL
Enumeration date
02/22/2007
Last updated
11/08/2024
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