Individual
JUDY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15585 N 91ST AVE, PEORIA, AZ 85382-3543
(623) 486-6200
Mailing address
15585 N 91ST AVE, PEORIA, AZ 85382-3543
(623) 486-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
261691
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261691
—
AZ
Enumeration date
09/13/2022
Last updated
09/13/2022
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