Individual
ELIZABETH ANN TAYLOR
Active
Individual
ELIZABETH ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
Update your record
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