Individual
DEBRA K TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143
(317) 497-6333
(317) 497-6334
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71001648A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
71001648A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000651250
ANTHEM
IN
05
—
200864210
—
IN
01
—
P01211434
RR MEDICARE PTAN
IN
Enumeration date
09/21/2006
Last updated
10/20/2020
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