Individual
MIKELAH RAYE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 SACHEM PL UNIT 201, CHARLOTTESVILLE, VA 22901-2554
(434) 973-9744
Mailing address
1241 HOLMES AVE, CHARLOTTESVILLE, VA 22901-3724
(757) 880-5922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187728
VA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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