Individual
ELIZABETH ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28122298A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71000601A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000741749
ANTHEM PTAN
IN
01
—
1102587421
ANTHEM PTAN
IN
05
—
200295180
—
IN
01
—
P02524866
RAILROAD PTAN
IN
Enumeration date
10/20/2005
Last updated
02/18/2025
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