Individual
DENA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0024165936
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0001170024
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396876520
—
VA
Enumeration date
03/08/2007
Last updated
07/18/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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