Individual
DIANE LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 SOUTH BLVD E, SITE 390, ROCHESTER HILLS, MI 48307-6122
(248) 293-0055
(248) 293-3338
Mailing address
60746 MIRIAM DR, WASHINGTON TWP, MI 48094
(586) 337-4479
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704219139
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704219139
MI
Other
Enumeration date
09/01/2010
Last updated
02/19/2019
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