Individual
REBECCA RACHELE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3105 S SARE RD STE 102, BLOOMINGTON, IN 47401-0052
(126) 768-8588
(126) 768-8588
Mailing address
718 CRYSTAL CT, BEDFORD, IN 47421-6777
(317) 431-1310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05180384
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14250607
NPI
IN
Enumeration date
06/18/2018
Last updated
01/05/2024
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