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Individual

TAYLOR SIDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP PMHNP-BC

Contact information

Practice address
333 BUSINESS CIR, PELHAM, AL 35124-1778
(205) 255-3828
Mailing address
1380 WOODRIDGE PL, GARDENDALE, AL 35071-1139
(205) 388-6101

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-150297
AL

Other

Enumeration date
06/15/2020
Last updated
03/16/2021
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